Organization
AN ANGEL'S TOUCH OF THE RIVER REGION INC
Active
Parent organization
AN ANGEL'S TOUCH OF THE RIVER REGION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AN ANGEL'S TOUCH OF THE RIVER REGION INC
Authorized official
MR. KENNETH AVERY VICTOR (ADMINISTOR)
(985) 651-7887
Entity
Organization
Contact information
Practice address
121 MARIE ST, LA PLACE, LA 70068-4175
(985) 651-7887
Mailing address
121 MARIE ST, LA PLACE, LA 70068-4175
(985) 651-7887
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
9580
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179752
—
LA
Enumeration date
11/06/2007
Last updated
11/06/2007
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