Organization
EVANGELINE COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE J LEBOEUF (EXECUTIVE DIRECTOR)
(337) 363-5161
Entity
Organization
Contact information
Practice address
1012 N REED ST, VILLE PLATTE, LA 70586-2504
(337) 363-5161
Mailing address
1012 N REED ST, VILLE PLATTE, LA 70586-2504
(337) 363-5161
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1611328
—
LA
Enumeration date
02/06/2007
Last updated
08/15/2007
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