Organization
STAT FAMILY CARE OF JENNINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LUCE (OFFICE MANAGER)
(337) 616-9948
Entity
Organization
Contact information
Practice address
1615 JOHNSON ST, SUITE A, JENNINGS, LA 70546-3650
(337) 616-9945
(337) 616-9946
Mailing address
1615 JOHNSON ST, SUITE A, JENNINGS, LA 70546-3650
(337) 616-9945
(337) 616-9946
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
08095R
LA
Other
Enumeration date
07/13/2007
Last updated
07/16/2007
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