| Wright Way Two | |
|
220 W Louisiana Ave Vivian LA 71082-2820 | |
| (318) 375-2780 | |
| (318) 375-2781 |
| Full Name | Wright Way Two |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 W Louisiana Ave, Vivian, Louisiana |
| Authorized Official Name and Position | Serita Rachelle Wright (ADMINISTRATOR) |
| Authorized Official Contact | 3183752780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wright Way Two 220 W Louisiana Ave Vivian LA 71082-2820 Ph: (318) 375-2780 | Wright Way Two 220 W Louisiana Ave Vivian LA 71082-2820 Ph: (318) 375-2780 |
| NPI Number | 1225542178 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225542178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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