Organization
DIRECTIONS OF LOUISIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY J ORTEGO (ADMINISTRATOR)
(318) 640-4340
Entity
Organization
Contact information
Practice address
5427 SHREVEPORT HWY, PINEVILLE, LA 71360-3531
(318) 640-4340
(318) 640-4160
Mailing address
5427 SHREVEPORT HWY, PINEVILLE, LA 71360-3531
(318) 640-4340
(318) 640-4160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CM2052
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1547034
—
LA
Enumeration date
03/19/2007
Last updated
03/15/2016
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