Organization
TUNSON PCA AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE OLIVER TUNSON (ADMINISTRATOR)
(985) 369-7002
Entity
Organization
Contact information
Practice address
120 VICKIE ST, NAPOLEONVILLE, LA 70390-8638
(985) 369-7002
(985) 369-7170
Mailing address
120 VICKIE ST, 4781 HWY 1, NAPOLEONVILLE, LA 70390-8638
(985) 369-7002
(985) 369-7170
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509477
—
LA
Enumeration date
11/29/2006
Last updated
08/22/2020
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