Organization
MICHELLE L WALL
Active
Other names
ABC Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE L WALL (OWNER - PRESIDENT)
(225) 667-4014
Entity
Organization
Contact information
Practice address
680 CENTERVILLE ST NE, DENHAM SPRINGS, LA 70726-3512
(225) 667-4014
(225) 667-4886
Mailing address
PO BOX 1284, DENHAM SPRINGS, LA 70727-1284
(225) 667-4014
(225) 667-4886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1313
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1173509
—
LA
05
—
1479659
—
LA
05
—
1625272
—
LA
05
—
1625426
—
LA
Enumeration date
04/18/2007
Last updated
12/01/2010
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