| Paradym Senior Life, Llc | |
|
11139 Fost Lane Hammond LA 70403 | |
| (225) 294-0401 | |
| (225) 294-0301 |
| Full Name | Paradym Senior Life, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11139 Fost Lane, Hammond, Louisiana |
| Authorized Official Name and Position | William L Pratt (OWNER) |
| Authorized Official Contact | 2252940401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradym Senior Life, Llc Po Box 850 Springfield LA 70462-0850 Ph: (225) 294-0401 | Paradym Senior Life, Llc 11139 Fost Lane Hammond LA 70403 Ph: (225) 294-0401 |
| NPI Number | 1982848875 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982848875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35176177K (Louisiana) | Primary |
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