Organization
PREVENTIVE MEASURES PROGRAMS, IN.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA HOLMES LPC (ADMINISTRATOR)
(318) 614-5445
Entity
Organization
Contact information
Practice address
520 SNYDER ST STE 112, TALLULAH, LA 71282-3834
(318) 574-0098
(138) 574-1208
Mailing address
PO BOX 9177, MONROE, LA 71211-9177
(318) 574-0098
(318) 574-1208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PCA 15154
LA
251E00000X
Home Health Agency
Primary
SIL 20123
LA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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