Organization
DELAVALLADE HOUSE OF PINEVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONCILLE L DELAVALLADE (OWNER)
(504) 256-6196
Entity
Organization
Contact information
Practice address
1312 JEANNIE ST, SUITE A, PINEVILLE, LA 71360-5340
(504) 256-6196
(318) 443-0429
Mailing address
3917 TRINITY CHURCH RD, PINEVILLE, LA 71360-8412
(504) 256-6196
(318) 443-0429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
02/01/2016
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