Organization
FAMILIES IN CONNECTION MINS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUNICE ALFRED (ADMINISTRATOR)
(318) 767-0842
Entity
Organization
Contact information
Practice address
1605 MURRAY ST, SUITE 105, ALEXANDRIA, LA 71301-6890
(318) 767-0842
(318) 767-2229
Mailing address
1605 MURRAY ST, SUITE 105, ALEXANDRIA, LA 71301-6890
(318) 767-0842
(318) 767-2229
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
PCA 10948
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625701
—
LA
Enumeration date
02/25/2008
Last updated
02/25/2008
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