# FAMILY HEALTHCARE OF LORANGER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992172621
- **Authorized official:** MS. KIMBERLY RENEE MANINA FNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (985) 606-2273

## Contact information

- **Practice address:** 54033 HIGHWAY 1062, SUITE B, LORANGER, LA 70446
- **Practice address phone:** (985) 606-2273
- **Practice address fax:** (985) 606-2268
- **Mailing address:** 54033 HIGHWAY 1062, SUITE B, LORANGER, LA 70446
- **Mailing address phone:** (985) 606-2273
- **Mailing address fax:** (985) 606-2268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | AP06729 | LA | — |
| 261QR1300X | Rural Health Clinic/Center | AP06729 | LA | Yes |
| 364SF0001X | Family Health Clinical Nurse Specialist | AP6729 | LA | — |

## Other

- **Enumeration date:** 08/28/2015
- **Last updated:** 07/21/2022