# M M GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376785386
- **Authorized official:** MRS. AVIS ROWAN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (225) 337-5906

## Contact information

- **Practice address:** 15360 RYAN AVE, PRAIRIEVILLE, LA 70769-4385
- **Practice address phone:** (225) 337-5906
- **Practice address fax:** (225) 744-3030
- **Mailing address:** 15360 RYAN AVE, PRAIRIEVILLE, LA 70769-4385
- **Mailing address phone:** (225) 337-5906
- **Mailing address fax:** (225) 744-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | LA | Yes |

## Other

- **Enumeration date:** 04/06/2009
- **Last updated:** 07/21/2022