Organization
NEW HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY D JOHNSON (ACCOUNTING DIRECTOR)
(318) 671-8131
Entity
Organization
Contact information
Practice address
3400 JACKSON STREET, SUITE 4, ALEXANDRIA, LA 71301
(888) 361-3596
(318) 484-3640
Mailing address
3400 JACKSON STREET, ALEXANDRIA, LA 71301
(888) 361-3596
(318) 484-3640
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PCA10802
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196622
—
LA
Enumeration date
07/12/2007
Last updated
07/12/2007
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