# HEINEN SENIOR CARE

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

## Provider details

- **NPI number:** 1457886210
- **Authorized official:** BRIAN HEINEN SR. (MEDICAL DOCTOR)
- **Authorized official phone:** (337) 457-6017

## Contact information

- **Practice address:** 151 LEON AVE, EUNICE, LA 70535-3937
- **Practice address phone:** (337) 457-8166
- **Mailing address:** 151 LEON AVE, EUNICE, LA 70535-3937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 011464 | LA | Yes |

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/28/2017