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NPI Code Detail

MEDICARE: START CORPORATION

MEDICARE: START CORPORATION
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1629651427
Entity Type Code : Organization
Provider Name (Legal Business Name) : START CORPORATION
Provider Business Mailing Address
First Line : PO BOX 165
Second Line :
City : HOUMA
State : LA
Zip : 70361-0165
Country : US
Telephone Number : 985-333-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2350 LEVY ST STE 211
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-3656
Country : US
Telephone Number : 318-209-7766
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF COMPLIANCE
Name : CATHERINE BROUSSARD
Credential :
Telephone Number : 985-333-2018
Provider Enumeration Date : 04/30/2021
Last Update Date : 04/30/2021

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Directions to “START CORPORATION ” 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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