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NPI Code Detail

MEDICARE: CENTRAL LOUISIANA SENIOR CARE MHT LLC

MEDICARE: CENTRAL LOUISIANA SENIOR CARE MHT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician022865LA

General Provider Information

NPI Number : 1477963221
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL LOUISIANA SENIOR CARE MHT LLC
Provider Business Mailing Address
First Line : 1515 HERITAGE DRIVE
Second Line : SUITE 110
City : MCKINNEY
State : TX
Zip : 75069-3379
Country : US
Telephone Number : 972-616-4702
Fax Number :
Provider Business Practice Location Address
First Line : 9372 HIGHWAY 165 S
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-9786
Country : US
Telephone Number : 855-860-2109
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAVID GUILLOT
Credential : M.D.
Telephone Number : 318-416-7791
Provider Enumeration Date : 05/02/2014
Last Update Date : 02/18/2015

Similar Medicare Providers

1215939558 — DAVID J GUILLOT MD
Practice Location Address:
9372 HIGHWAY 165 S
WOODWORTH, LA
71485-9786
Practice Phone: 318-484-9588
Practice Fax: 318-484-9590
1669623609 — JERRY A STALLINGS ARNP, FNP
Practice Location Address:
9372 HIGHWAY 165 S
WOODWORTH, LA
71485-9786
Practice Phone: 318-484-9588
Practice Fax:
1831334887 — JENNIFER W HALBERT FNP-C
Practice Location Address:
9372 HIGHWAY 165 S
WOODWORTH, LA
71485-9786
Practice Phone: 318-484-9588
Practice Fax: 318-484-9590
1477969228 — MRS. CASEY HEBERT NP
Practice Location Address:
9372 HIGHWAY 165 S
WOODWORTH, LA
71485-9786
Practice Phone: 318-484-9588
Practice Fax: 318-484-9590
1699158899 — MS. MONICA J ALLEN FNP
Practice Location Address:
9372 HIGHWAY 165 S
WOODWORTH, LA
71485-9786
Practice Phone: 318-484-9588
Practice Fax: 318-484-9590
1578929105 — ACCESS HEALTH LOUISIANA
Practice Location Address:
9372 HIGHWAY 165 S
WOODWORTH, LA
71485-9786
Practice Phone: 504-575-3712
Practice Fax: 504-575-3691

Directions to “CENTRAL LOUISIANA SENIOR CARE MHT LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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