| Total Divine Care Llc | |
|
1840 North Washington Street Bastrop LA 71220 | |
| (318) 283-1010 | |
| Not Available |
| Full Name | Total Divine Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1840 North Washington Street, Bastrop, Louisiana |
| Authorized Official Name and Position | Arielle Mcneal (OWNER) |
| Authorized Official Contact | 3182675190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Divine Care Llc 1840 North Washington Street Bastrop LA 71220 Ph: () - | Total Divine Care Llc 1840 North Washington Street Bastrop LA 71220 Ph: (318) 283-1010 |
| NPI Number | 1386179307 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386179307 | NPI | - | NPPES |
| 251S00000X | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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