| Vcphcs V, Llc | |
|
412 Avenue B Bogalusa LA 70427-3741 | |
| (214) 365-6100 | |
| Not Available |
| Full Name | Vcphcs V, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 412 Avenue B, Bogalusa, Louisiana |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcphcs V, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | Vcphcs V, Llc 412 Avenue B Bogalusa LA 70427-3741 Ph: (214) 365-6100 |
| NPI Number | 1548900756 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548900756 | NPI | - | NPPES |
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