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Organization

ACADIANA HEALTH ALLIANCE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JONEA KRYSTAL LYNN THIGPEN RN (VICE PRESIDENT)
(337) 349-0099
Entity
Organization

Contact information

Practice address
1101 S COLLEGE RD, SUITE 101, LAFAYETTE, LA 70503-3038
(337) 235-9355
(337) 235-9356
Mailing address
PO BOX 53154, LAFAYETTE, LA 70505-3154
(337) 235-9355
(337) 235-9356

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251J00000X
Nursing Care Agency
RN103303
LA
253Z00000X
In Home Supportive Care Agency
261QH0100X
Health Service Clinic/Center
Primary
RN 103303
LA

Other

Enumeration date
10/15/2008
Last updated
06/23/2009
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