Organization
KIDCARE LOUISIANA, LLC
Active
Other names
KIDCARE JONESVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
CINDI LOFTON (OFFICE MANAGER)
(318) 339-9901
Entity
Organization
Contact information
Practice address
2801 FOURTH ST STE 2, JONESVILLE, LA 71343
(318) 339-9901
(318) 339-9903
Mailing address
2801 FOURTH ST STE 2, JONESVILLE, LA 71343-2027
(318) 339-9901
(318) 339-9903
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2203783351
LA
363LF0000X
Family Nurse Practitioner
AP04515
LA
Other
Enumeration date
01/30/2015
Last updated
05/16/2018
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