Organization
ELISHA MINISTRIES
Active
Other names
Supportive Housing Of Northeast LA, Supportive Housing of NELA ; Elisha Ministries Medicaid Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLORIA DENISE MAYS APMHNP-BC (EXECUTIVE DIRECTOR)
(318) 251-1233
Entity
Organization
Contact information
Practice address
608 S TRENTON ST, RUSTON, LA 71270-5041
(318) 251-1233
(318) 254-5023
Mailing address
608 S TRENTON ST, RUSTON, LA 71270-5041
(318) 251-1233
(318) 254-5023
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
RN064413 AP03033
LA
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
09/30/2008
Last updated
07/19/2021
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