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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
(987) 651-7887
Mailing address
121 MARIE ST, LA PLACE, LA 70068-4175
(987) 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
1173291
LA
Enumeration date
11/06/2007
Last updated
11/06/2007
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