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Organization
ASSURED MEDICAL GROUP, INC
Active
Organization
ASSURED MEDICAL GROUP, INC
Active
Parent organization
ASSURED MEDICAL HOLDINGS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSURED MEDICAL HOLDINGS, INC
Authorized official
MR. THOMAS L EWING (EXECUTIVE DIRECTOR)
(337) 334-7031
Entity
Organization
Contact information
Practice address
200 AMERICAN LEGION DR, RAYNE, LA 70578-5826
(337) 334-7031
(225) 208-1415
Mailing address
139B JAMES COMEAUX RD # 575, LAFAYETTE, LA 70508-3255
(337) 334-7031
(225) 208-1415
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA 15206
LA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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