Organization
MICHELLE L WALL, LLC
Active
Other names
ABC Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA WALL MHS, LRC (OWNER)
(225) 667-4014
Entity
Organization
Contact information
Practice address
682 CENTERVILLE ST NE, DENHAM SPRINGS, LA 70726-3512
(225) 665-7826
(225) 665-7826
Mailing address
PO BOX 1284, DENHAM SPRINGS, LA 70727-1284
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2203783006
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203783006
—
LA
Enumeration date
01/05/2018
Last updated
01/05/2018
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