| Acidom Medical Services Ii Llc | |
|
3864 Deercreek Ln Harvey LA 70058-2115 | |
| (504) 296-3365 | |
| (504) 340-8884 |
| Full Name | Acidom Medical Services Ii Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3864 Deercreek Ln, Harvey, Louisiana |
| Authorized Official Name and Position | Roxanne Modica (OWNER) |
| Authorized Official Contact | 5042963365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acidom Medical Services Ii Llc 3864 Deercreek Ln Harvey LA 70058-2115 Ph: (504) 296-3365 | Acidom Medical Services Ii Llc 3864 Deercreek Ln Harvey LA 70058-2115 Ph: (504) 296-3365 |
| NPI Number | 1902268980 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902268980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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