Organization
ADULT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS MECERLES MELANCON (OWNER)
(504) 367-6630
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD, B-7 STE-7, TERRYTOWN, LA 70056-3950
(504) 367-6630
(504) 367-6601
Mailing address
2100 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 367-6630
(504) 367-6601
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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