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Organization
MINI MIRACLES PEDIATRIC DAY HEALTH CENTER, LLC
Active
Organization
MINI MIRACLES PEDIATRIC DAY HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY AUGER (ADMINISTRATOR)
(318) 368-8996
Entity
Organization
Contact information
Practice address
120 EAGLE POINT DR, FARMERVILLE, LA 71241
(318) 368-8681
Mailing address
120 EAGLE POINT DR, FARMERVILLE, LA 71241
(318) 368-8996
(318) 368-8997
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
06/13/2014
Last updated
02/03/2015
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