Organization
ACADIANA WOUND CARE SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA DEVILLIER RN,BSN,CWOCN (PARTNER)
(888) 669-6863
Entity
Organization
Contact information
Practice address
6948 VETERANS MEMORIAL HWY., MAMOU, LA 70554-4823
(888) 669-6863
(888) 456-9223
Mailing address
PO BOX 53888, LAFAYETTE, LA 70505-3888
(888) 669-6863
(888) 456-9223
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RN059946
LA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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