Organization
PREEMINENT HEALTHCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY MALLET (OFFICE MANAGER)
(337) 783-5262
Entity
Organization
Contact information
Practice address
7515 CAMERON ST, DUSON, LA 70529-3312
(337) 456-3392
(337) 456-3394
Mailing address
325 N AVENUE F, CROWLEY, LA 70526-5042
(337) 783-5262
(337) 783-5264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9562
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120022
—
LA
Enumeration date
05/22/2006
Last updated
12/08/2009
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