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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