Organization
TARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M ABLES (CEO)
(985) 345-8811
Entity
Organization
Contact information
Practice address
408 N CYPRESS ST, HAMMOND, LA 70401-2641
(985) 549-0712
(985) 549-0743
Mailing address
408 N CYPRESS ST, HAMMOND, LA 70401-2641
(985) 549-0712
(985) 549-0743
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
7926
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1436674
—
LA
Enumeration date
05/04/2007
Last updated
06/20/2012
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