Organization
MEDSOUTH. LLC
Active
Organization
MEDSOUTH. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLEY H ROUGEAU (GENERAL MANAGER)
(318) 473-0863
Entity
Organization
Contact information
Practice address
3700 BAYOU RAPIDES RD, ALEXANDRIA, LA 71303-3601
(318) 473-0863
(318) 473-9889
Mailing address
3700 BAYOU RAPIDES RD, ALEXANDRIA, LA 71303-3601
(318) 473-0863
(318) 473-9889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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