Organization
POST ACUTE CARE LEADERS - LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JUSTISS (CONTROLLER)
(678) 593-3332
Entity
Organization
Contact information
Practice address
2000 MAIN ST, FRANKLINTON, LA 70438-3620
(678) 593-3332
(678) 868-1584
Mailing address
925 N POINT PKWY STE 425, ALPHARETTA, GA 30005-5200
(678) 593-3332
(678) 868-1584
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
06/01/2022
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