Organization
PLAQUEMINE MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M. JACKSON (CEO/OFFICE MANAGER)
(225) 385-4617
Entity
Organization
Contact information
Practice address
23620 EDEN ST, PLAQUEMINE, LA 70765-0986
(225) 385-4617
(225) 385-4646
Mailing address
PO BOX 986, 23620 EDEN ST, PLAQUEMINE, LA 70765-0986
(225) 385-4617
(225) 385-4646
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
LA
376K00000X
Nurse's Aide
Primary
—
LA
Other
Enumeration date
01/26/2010
Last updated
01/29/2010
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