Organization
LEMICO INC
Active
Organization
LEMICO INC
Active
Other names
Alternative Concept Care Services monroe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE PATRICK WALLACE (ADMINISTRATROR)
(318) 388-2203
Entity
Organization
Contact information
Practice address
3001 ARMAND ST STE A, MONROE, LA 71201-3761
(318) 388-2203
(318) 388-2062
Mailing address
3001 ARMAND ST STE A, MONROE, LA 71201-3761
(318) 388-2203
(318) 388-2062
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
SIL 20187
LA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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