Michael Gaines And Faith Llc | |
13888 Plank Rd Baker LA 70714-4929 | |
(225) 636-2638 | |
Not Available |
Full Name | Michael Gaines And Faith Llc |
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Speciality | Community/behavioral Health |
Location | 13888 Plank Rd, Baker, Louisiana |
Authorized Official Name and Position | Michael Gaines (DIRECTOR) |
Authorized Official Contact | 2256362638 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael Gaines And Faith Llc 13888 Plank Rd Baker LA 70714-4929 Ph: () - | Michael Gaines And Faith Llc 13888 Plank Rd Baker LA 70714-4929 Ph: (225) 636-2638 |
NPI Number | 1679938617 |
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Provider Enumeration Date | 12/17/2015 |
Last Update Date | 12/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679938617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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