ALLIED MEDICINE INC
Custodial Care Facility
Broussard, Louisiana
Provider NPI: 1295913606
Organization Information:Organization Name: ALLIED MEDICINE INC
Practice Location:
620 BAYOU TORTUE RD BROUSSARD, LA 70518 US
Tel: 337-837-6420 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
620 BAYOU TORTUE RD BROUSSARD, LA 70518 US
Tel: 337-837-6420 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | LA | 14245 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1353281 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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