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NPI Code Detail

MEDICARE: GREATER OUACHITA COALTION PROVIDING AIDS RESOURCES AND EDUCATION, INC.

MEDICARE: GREATER OUACHITA COALTION PROVIDING AIDS RESOURCES AND EDUCATION, 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
1251B00000XCase Management 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

General Provider Information

NPI Number : 1932226560
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER OUACHITA COALTION PROVIDING AIDS RESOURCES AND EDUCATION, INC.
Provider Business Mailing Address
First Line : 2915 DESIARD ST
Second Line :
City : MONROE
State : LA
Zip : 71201-7207
Country : US
Telephone Number : 318-325-1092
Fax Number : 318-325-7793
Provider Business Practice Location Address
First Line : 2915 DESIARD ST
Second Line :
City : MONROE
State : LA
Zip : 71201-7207
Country : US
Telephone Number : 318-325-1092
Fax Number : 318-325-7793
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : RICHARD WOMACK
Credential : LCSW
Telephone Number : 318-325-1092
Provider Enumeration Date : 03/26/2007
Last Update Date : 08/22/2020

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Directions to “GREATER OUACHITA COALTION PROVIDING AIDS RESOURCES AND EDUCATION, INC. ” Practice Location

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