Organization
MAGNOLIA PLACE OF VILLE PLATTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC GUILLORY DVM (AUTHORIZED OFFICIAL)
(337) 459-1404
Entity
Organization
Contact information
Practice address
4793 PINE POINT RD, VILLE PLATTE, LA 70586-8651
(337) 459-1404
Mailing address
PO BOX 236, VILLE PLATTE, LA 70586-0236
(337) 459-1404
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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