Organization
FAMILY HEALTH OF LOUISIANA, LLC
Active
Parent organization
THE PHYSICIANS ALLIANCE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PHYSICIANS ALLIANCE CORPORATION
Authorized official
KENNETH CRANOR (PRESIDENT/AUTHORIZED OFFICIAL)
(225) 665-5149
Entity
Organization
Contact information
Practice address
8369 FLORIDA BLVD, STE. 8, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770
Mailing address
1810 FLORIDA BLVD., SUITE A, DENHAM SPRINGS, LA 70726
(225) 665-5149
(225) 667-1770
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459607
—
LA
05
—
1941000
—
LA
Enumeration date
11/07/2008
Last updated
06/10/2013
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