Organization
MATTERS OF THE HEART OF NORTH LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRASHEDA KONYA TOLIVER (OWNER)
(318) 512-0152
Entity
Organization
Contact information
Practice address
721 BROADWAY ST, MINDEN, LA 71055-3306
(318) 377-3778
(318) 377-3879
Mailing address
721 BROADWAY ST, MINDEN, LA 71055-3306
(318) 377-3778
(318) 377-3879
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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