Organization
TRADITIONS HEALTH CARE OF PONCHATOULA, LLC
Active
Other names
Traditions Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KLEMENTZ (PRESIDENT & CEO)
(979) 704-6547
Entity
Organization
Contact information
Practice address
1579 HIGHWAY 51, PONCHATOULA, LA 70454-6374
(985) 386-7800
Mailing address
150 4TH AVE N STE 2300, NASHVILLE, TN 37219-2466
(979) 704-6457
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
09/21/2023
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