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Organization
TRADITIONS HEALTH CARE OF PONCHATOULA, LLC
Active
Organization
TRADITIONS HEALTH CARE OF PONCHATOULA, LLC
Active
Other names
Traditions Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KLEMENTZ (PRESIDENT & CEO)
(979) 704-6547
Entity
Organization
Contact information
Practice address
1579 HIGHWAY 51, PONCHATOULA, LA 70454-6374
(985) 386-7800
Mailing address
150 4TH AVE N STE 2300, NASHVILLE, TN 37219-2466
(979) 704-6457
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/16/2021
Last updated
09/21/2023
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