Thibodaux Community Home | |
1200 Jefferson St Thibodaux LA 70301-2238 | |
(337) 233-2731 | |
Not Available |
Full Name | Thibodaux Community Home |
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Speciality | Community/behavioral Health |
Location | 1200 Jefferson St, Thibodaux, Louisiana |
Authorized Official Name and Position | Mary A Pank (PARALEGAL) |
Authorized Official Contact | 5023942100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thibodaux Community Home 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (502) 394-2100 | Thibodaux Community Home 1200 Jefferson St Thibodaux LA 70301-2238 Ph: (337) 233-2731 |
NPI Number | 1407366321 |
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Provider Enumeration Date | 10/05/2017 |
Last Update Date | 10/05/2017 |
Identifier | Type | State | Issuer |
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1407366321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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