Organization
CCFR, LLC
Active
Other names
Premier Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS RICHARD ATTORNEY-AT-LAW (OWNER)
(337) 739-3483
Entity
Organization
Contact information
Practice address
1001 W PINHOOK RD, BUILDING #3, SUITE 105B, LAFAYETTE, LA 70503-2448
(877) 449-5089
(877) 335-5579
Mailing address
1001 W PINHOOK RD, BUILDING #3, SUITE 105B, LAFAYETTE, LA 70503-2448
(877) 449-5089
(877) 631-5351
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
02/03/2014
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