MEDICARE: MEDICAL RESOURCES & GUIDANCE, INC.

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
1	251B00000X	Case Management Agency	CM 4388	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1871616615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL RESOURCES & GUIDANCE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 568
Second Line	:
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-0568
Country	:	US
Telephone Number	:	337-363-4999
Fax Number	:	337-363-3702

Provider Business Practice Location Address
First Line	:	301 JACKSON STREET
Second Line	:	SUITE 201
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-0000
Country	:	US
Telephone Number	:	318-561-7564
Fax Number	:	318-561-7565

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. TAMMY FONTENOT
Credential	:
Telephone Number	:	337-363-4999

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	08/22/2020

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