# ASSURED MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSURED MEDICAL HOLDINGS,LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588892442
- **Legal business name:** ASSURED MEDICAL HOLDINGS,LLC
- **Authorized official:** MR. THOMAS L EWING (EXECTUTIVE DIRECTOR)
- **Authorized official phone:** (337) 334-7031

## Contact information

- **Practice address:** 139B JAMES COMEAUX RD \# 575, LAFAYETTE, LA 70508-3255
- **Practice address phone:** (337) 334-7031
- **Practice address fax:** (225) 208-1415
- **Mailing address:** 200 AMERICAN LEGION DR, RAYNE, LA 70578-5826
- **Mailing address phone:** (337) 334-7031
- **Mailing address fax:** (225) 208-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | SIL 20149 | LA | Yes |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 06/30/2009