| Cedar Place Llc | |
|
125 N Alexander Ave Port Allen LA 70767-2511 | |
| (225) 388-0518 | |
| (225) 388-0517 |
| Full Name | Cedar Place Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 125 N Alexander Ave, Port Allen, Louisiana |
| Authorized Official Name and Position | Betty Carr (RN/OWNER) |
| Authorized Official Contact | 2253880518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Place Llc 125 N Alexander Ave Port Allen LA 70767-2511 Ph: (225) 388-0518 | Cedar Place Llc 125 N Alexander Ave Port Allen LA 70767-2511 Ph: (225) 388-0518 |
| NPI Number | 1588841159 |
|---|---|
| Provider Enumeration Date | 01/26/2008 |
| Last Update Date | 01/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588841159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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