Organization
NEW LIFE FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LEE JOHNSON (OWNER)
(318) 342-9508
Entity
Organization
Contact information
Practice address
116 NORFOLK PL, MONROE, LA 71202-3919
(318) 342-9508
(318) 345-5148
Mailing address
116 NORFOLK, MONROE, LA 71202
(318) 342-9508
(318) 345-5148
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
12466
LA
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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