Organization
NORTHEAST LOUISIANA HEALTH SOLUTIONS
Active
Other names
Americare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S DAVIDSON (OWNER/ADMINISTRATOR)
(318) 329-1101
Entity
Organization
Contact information
Practice address
1812 GLENMAR AVE, SUITE B, MONROE, LA 71201-4932
(318) 329-1101
(318) 329-1107
Mailing address
1812 GLENMAR AVE, SUITE B, MONROE, LA 71201-4932
(318) 329-1101
(318) 329-1107
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
15073
LA
372500000X
Chore Provider
2203782471
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083877237
—
LA
05
—
1699931345
—
LA
05
—
1821333030
—
LA
Enumeration date
08/01/2008
Last updated
10/14/2015
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