Organization
OMNI SOUTH HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE CLARK ALLEN CNP (OWNER)
(225) 281-4485
Entity
Organization
Contact information
Practice address
8225 YMCA PLAZA DR, BATON ROUGE, LA 70810-0922
(225) 921-5697
(913) 222-1693
Mailing address
7515 JEFFERSON HWY # 155, BATON ROUGE, LA 70806-8308
(225) 921-5697
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/28/2020
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