Organization
PRIMARY CARE AT HOME OF LOUISIANA II, LLC
Active
Other names
Primary Care at Home of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D, STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1107 HUDSON LN, MONROE, LA 71201-6033
(318) 732-3337
(318) 383-6656
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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