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Organization

SABINE COUNCIL ON AGING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMMY JO MANGUM (DIRECTOR)
(318) 256-4140
Entity
Organization

Contact information

Practice address
200 LEGACY DR, MANY, LA 71449-3762
(318) 256-4140
(318) 256-4164
Mailing address
200 LEGACY DR, MANY, LA 71449-3762
(318) 256-4140
(318) 256-4164

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LA

Other

Enumeration date
04/22/2016
Last updated
04/22/2016
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