Organization
EVANGELINE COUNCIL ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE J LEBOEUF (EXECUTIVE DIRECTOR)
(337) 363-5161
Entity
Organization
Contact information
Practice address
1012 N REED ST, VILLE PLATTE, LA 70586-2504
(337) 363-5161
(337) 363-5301
Mailing address
1012 N REED ST, VILLE PLATTE, LA 70586-2504
(337) 363-5161
(337) 363-5301
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PCA 3677
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664812
—
LA
Enumeration date
01/23/2007
Last updated
08/15/2007
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