Organization
AVOYELLES ADULT CARE A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY O CORLEY (OFFICE MANAGER)
(318) 253-8600
Entity
Organization
Contact information
Practice address
4239 HIGHWAY 1192, SUITE 200, MARKSVILLE, LA 71351-2956
(318) 253-8600
(318) 253-8654
Mailing address
4239 HIGHWAY 1192, SUITE 200, MARKSVILLE, LA 71351-4771
(318) 253-8600
(318) 253-8654
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
023281
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1541729
—
LA
Enumeration date
12/05/2006
Last updated
04/03/2014
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