Organization
PARADYM SENIOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L PRATT (OWNER)
(225) 294-0401
Entity
Organization
Contact information
Practice address
11139 FOST LANE, HAMMOND, LA 70403
(225) 294-0401
(225) 294-0301
Mailing address
PO BOX 850, SPRINGFIELD, LA 70462-0850
(225) 294-0401
(225) 294-0301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35176177K
LA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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