| Glove Inc | |
|
802 N. Dupre St.apt 34 Ville Platte LA 70586 | |
| (337) 363-4758 | |
| (337) 363-4758 |
| Full Name | Glove Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 802 N. Dupre St.apt 34, Ville Platte, Louisiana |
| Authorized Official Name and Position | Eddie James Goudy (ADMINISTRATOR) |
| Authorized Official Contact | 3373634758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glove Inc Po Box 2051 Ville Platte LA 70586-9051 Ph: (337) 363-4758 | Glove Inc 802 N. Dupre St.apt 34 Ville Platte LA 70586 Ph: (337) 363-4758 |
| NPI Number | 1932571700 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932571700 | NPI | - | NPPES |
| 600723389 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 386 (Louisiana) | Primary |
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