Organization
PREEMINENT HEALTHCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY MALLET (OFFICE MANAGER)
(337) 783-5262
Entity
Organization
Contact information
Practice address
1640 N BERTRAND DR, LAFAYETTE, LA 70506-2130
(337) 593-0700
(337) 593-0799
Mailing address
325 N AVENUE F, CROWLEY, LA 70526-5042
(337) 783-5262
(337) 783-5264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9563
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626104
—
LA
Enumeration date
05/22/2006
Last updated
05/01/2008
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