Organization
MVP HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LYNN DASPIT (ADMINISTRATOR)
(337) 250-4739
Entity
Organization
Contact information
Practice address
2112 N PARKERSON AVE, SUITE A, CROWLEY, LA 70526-2001
(337) 250-4739
(888) 240-6507
Mailing address
2851 JOHNSTON ST, PMB 137, LAFAYETTE, LA 70503-3243
(337) 250-4739
(888) 240-6507
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15529
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162411
—
LA
Enumeration date
04/16/2012
Last updated
04/16/2012
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