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NPI Code Detail

MEDICARE: FLORDIA PARISHES HUMAN SERVICE AUTHORITY

MEDICARE: FLORDIA PARISHES HUMAN SERVICE AUTHORITY
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
1305S00000XPoint of ServiceLA

General Provider Information

NPI Number : 1659662104
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORDIA PARISHES HUMAN SERVICE AUTHORITY
Provider Business Mailing Address
First Line : 2106 AVENUE F
Second Line :
City : BOGALUSA
State : LA
Zip : 70427-5027
Country : US
Telephone Number : 985-732-6655
Fax Number : 985-732-6678
Provider Business Practice Location Address
First Line : 2106 AVENUE F
Second Line :
City : BOGALUSA
State : LA
Zip : 70427-5027
Country : US
Telephone Number : 985-732-6655
Fax Number : 985-732-6678
Authorized Official
Title or Position : SOCIAL SERVICE COUNSELOR
Name : MRS. KINSHASHA ZAIRE MEDINA
Credential :
Telephone Number : 985-732-6655
Provider Enumeration Date : 05/02/2011
Last Update Date : 05/02/2011

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Directions to “FLORDIA PARISHES HUMAN SERVICE AUTHORITY ” Practice Location

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