# MICHELLE L WALL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABC Case Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215444625
- **Authorized official:** RHONDA WALL MHS, LRC (OWNER)
- **Authorized official phone:** (225) 667-4014

## Contact information

- **Practice address:** 3501 SEVERN AVE STE 22A, METAIRIE, LA 70002-3481
- **Practice address phone:** (504) 520-8545
- **Mailing address:** PO BOX 1284, DENHAM SPRINGS, LA 70727-1284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 27044 | LA | Yes |

## Other

- **Enumeration date:** 01/08/2018
- **Last updated:** 01/08/2018
