Louisiana Support Services | |
2955 Ridgelake Dr Metairie LA 70002-4967 | |
(504) 832-9623 | |
(504) 832-9625 |
Full Name | Louisiana Support Services |
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Speciality | Community/behavioral Health |
Location | 2955 Ridgelake Dr, Metairie, Louisiana |
Authorized Official Name and Position | Walter Harris (OWNER) |
Authorized Official Contact | 2527175717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Louisiana Support Services 915 Washington St Franklinton LA 70438-1718 Ph: (985) 839-1050 | Louisiana Support Services 2955 Ridgelake Dr Metairie LA 70002-4967 Ph: (504) 832-9623 |
NPI Number | 1376974543 |
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Provider Enumeration Date | 12/12/2013 |
Last Update Date | 12/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376974543 | NPI | - | NPPES |
2139495 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10241206#EGG62 (Louisiana) | Primary |
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