Organization
DEPAETMENT OF HEALTH AND HOSPITALS
Active
Other names
Minden Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYNE DENISE BLACKWELL RN (REGISTERED NURSE)
(318) 371-3348
Entity
Organization
Contact information
Practice address
435 HOMER RD, MINDEN, LA 71055-2933
(318) 371-3348
(318) 371-3300
Mailing address
435 HOMER RD, MINDEN, LA 71055-2933
(318) 371-3348
(318) 371-3300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN72650
STATE BOARD OF LOUISIANA
LA
Enumeration date
11/30/2012
Last updated
11/30/2012
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