Organization
ACIDOM MEDICAL SERVICES II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE MODICA (OWNER)
(504) 296-3365
Entity
Organization
Contact information
Practice address
3864 DEERCREEK LN, HARVEY, LA 70058-2115
(504) 296-3365
(504) 340-8884
Mailing address
3864 DEERCREEK LN, HARVEY, LA 70058-2115
(504) 296-3365
(504) 340-8884
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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