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Organization
AN ANGELS TOUCH OF THE RIVER REGION
Active
Organization
AN ANGELS TOUCH OF THE RIVER REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH AVERY VICTOR (ADMINISTRATOR)
(985) 651-7887
Entity
Organization
Contact information
Practice address
121 MARIE STREET, LAPLACE, LA 70068
(985) 651-7887
(985) 651-5173
Mailing address
121 MARIE STREET, LAPLACE, LA 70068
(985) 651-7887
(985) 651-5173
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
10007
LA
385H00000X
Respite Care
9581
LA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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