# AN ANGEL'S TOUCH OF THE RIVER REGION INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AN ANGEL'S TOUCH OF THE RIVER REGION INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750561882
- **Legal business name:** AN ANGEL'S TOUCH OF THE RIVER REGION INC
- **Authorized official:** MR. KENNETH AVERY VICTOR (ADMINISTOR)
- **Authorized official phone:** (985) 651-7887

## Contact information

- **Practice address:** 121 MARIE ST, LA PLACE, LA 70068-4175
- **Practice address phone:** (985) 651-7887
- **Mailing address:** 121 MARIE ST, LA PLACE, LA 70068-4175
- **Mailing address phone:** (985) 651-7887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 10007 | LA | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 11/06/2007
