Organization
VITAL HEALTHCARE SOLUTIONS LLC
Active
Other names
Magnolia Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA G LANDRY PMHNP (CEO)
(337) 831-1704
Entity
Organization
Contact information
Practice address
1535 W MAIN STREET, VILLE PLATTE, LA 70586-4320
(337) 506-2294
(929) 259-5972
Mailing address
1535 W MAIN ST, VILLE PLATTE, LA 70586-4320
(337) 506-2294
(929) 259-5972
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
08/01/2024
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