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Organization

AFFINITY HEALTH GROUP, LLC

Active
Other names
Affinity Health Management Center
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE BREARD (VP)
(318) 361-0900
Entity
Organization

Contact information

Practice address
1325 LOUISVILLE AVE, MONROE, LA 71201-6021
(318) 807-1500
(318) 807-1504
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
133V00000X
Registered Dietitian
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/13/2014
Last updated
05/13/2014
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