Organization
NORTHSTAR,TLC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA FOURROUX (PRESIDENT)
(318) 428-2310
Entity
Organization
Contact information
Practice address
212 E. JEFFERSON, OAKGROVE, LA 71263
(318) 428-2310
(318) 428-3424
Mailing address
P.O.BOX 1163, OAKGROVE, LA 71263
(318) 428-2310
(318) 428-3424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681377
—
LA
Enumeration date
01/05/2007
Last updated
07/21/2022
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