Organization
IMPERIAL EXCELLENCE NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDELYN CLARKE CLARKE WASHINGTON (CEO)
(337) 513-9845
Entity
Organization
Contact information
Practice address
7028 RUE RENARD ROUGE, IOWA, LA 70647-3342
(337) 513-9845
Mailing address
7028 RUE RENARD ROUGE, IOWA, LA 70647-3342
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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