Organization
POSITIVE CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNTRICE O'QUIN (MANAGER)
(985) 201-7036
Entity
Organization
Contact information
Practice address
1927 CORPORATE SQUARE DR, SLIDELL, LA 70458-3166
(504) 343-3655
Mailing address
1927 CORPORATE SQUARE DR, SLIDELL, LA 70458-3166
(504) 343-3655
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
27047
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069981
MEDICAID PROVIDER NUMBER
LA
Enumeration date
03/07/2016
Last updated
03/07/2016
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