Organization
ROSEMORE GARNER JR
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MR. ROSEMORE GARNER JR. (MHS)
(225) 315-9905
Entity
Organization
Contact information
Practice address
6201 SUMMERLIN DR, ZACHARY, LA 70791-2672
(225) 315-9905
Mailing address
6201 SUMMERLIN DR, ZACHARY, LA 70791-2672
(225) 315-9905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159204
—
LA
Enumeration date
01/20/2016
Last updated
01/20/2016
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