Organization
LIFTED BY LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NICOLE ODEN MSW (EXECUTIVE DIRECTOR)
(985) 346-6427
Entity
Organization
Contact information
Practice address
731 ANSLEY PLACE CT, HOUMA, LA 70360-2945
(985) 346-6427
Mailing address
PO BOX 82, HOUMA, LA 70361-0082
(985) 346-6427
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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