Organization
DEPARTMENT OF HEALTH AND HOSPITALS OPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA LEE GRAY RN (REGISTERED NURSE 2)
(318) 357-3132
Entity
Organization
Contact information
Practice address
625 BIENVILLE CIR, NATCHITOCHES, LA 71457-5744
(318) 357-3132
Mailing address
121 LAURYN ST, NATCHITOCHES, LA 71457-5330
(318) 357-3132
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
075080
LA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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