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NPI Code Detail

MEDICARE: PEOPLE UNITED OF LOUISIANA LLC

MEDICARE: PEOPLE UNITED OF LOUISIANA 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
1251B00000XCase Management AgencyCM 27048LA
2251B00000XCase Management Agency
3252Y00000XEarly Intervention Provider Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790082238
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEOPLE UNITED OF LOUISIANA LLC
Provider Business Mailing Address
First Line : PO BOX 77053
Second Line :
City : BATON ROUGE
State : LA
Zip : 70879-7053
Country : US
Telephone Number : 318-323-1300
Fax Number : 318-323-1400
Provider Business Practice Location Address
First Line : 2101 TOWER DR STE A
Second Line :
City : MONROE
State : LA
Zip : 71201-5045
Country : US
Telephone Number : 318-323-1300
Fax Number : 318-323-1400
Authorized Official
Title or Position : OWNER
Name : MRS. STEPHANIE L ROACH
Credential : MBA
Telephone Number : 225-278-8375
Provider Enumeration Date : 02/18/2011
Last Update Date : 03/29/2023

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Directions to “PEOPLE UNITED OF LOUISIANA 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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