| A-1 Customized Companion Services | |
|
2100 Belle Chasse Hwy # B Gretna LA 70053-6651 | |
| (504) 368-5545 | |
| (504) 368-5509 |
| Full Name | A-1 Customized Companion Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2100 Belle Chasse Hwy # B, Gretna, Louisiana |
| Authorized Official Name and Position | Lashun Senell Doyle (DIRECTOR) |
| Authorized Official Contact | 5043685545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A-1 Customized Companion Services 2100 Belle Chasse Hwy # B Gretna LA 70053-6651 Ph: (504) 368-5545 | A-1 Customized Companion Services 2100 Belle Chasse Hwy # B Gretna LA 70053-6651 Ph: (504) 368-5545 |
| NPI Number | 1558594457 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558594457 | NPI | - | NPPES |
| 00014 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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