Organization
VERNON INVESTMENT GROUP, LLC
Active
Other names
Vernon Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNA LUBBOS M.D. (MEMBER)
(337) 239-7227
Entity
Organization
Contact information
Practice address
213 ALEXANDRIA HWY, LEESVILLE, LA 71446-2147
(337) 238-0506
(337) 238-1528
Mailing address
PO BOX 1550, LEESVILLE, LA 71496-1550
(337) 238-0506
(337) 238-1528
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1088
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07 9806031
OCCUPATION LICENSE
LA
01
—
19-7413
MEDICARE
—
01
—
19D0716607
CLIA
—
01
—
401
DHH
LA
Enumeration date
07/17/2007
Last updated
09/15/2008
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