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Organization

BERACAH HEALTHCARE SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA CUTTS (OWNER-OFFICER)
(318) 487-2055
Entity
Organization

Contact information

Practice address
5302 JACQUELLA DR, ALEXANDRIA, LA 71301-2529
(318) 487-2055
(318) 487-6982
Mailing address
5302 JACQUELLA DR, ALEXANDRIA, LA 71301-2529
(318) 487-2055
(318) 487-6982

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1149799
LA
Enumeration date
02/14/2007
Last updated
08/22/2020
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