Organization
MINI MIRACLES PEDIATRIC DAY HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY AUGER (ADMINISTRATOR)
(318) 368-8996
Entity
Organization
Contact information
Practice address
120 EAGLE POINT DR, FARMERVILLE, LA 71241
(318) 368-8681
Mailing address
120 EAGLE POINT DR, FARMERVILLE, LA 71241
(318) 368-8996
(318) 368-8997
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
02/03/2015
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