Alternatives For Life Treatment & Recovery Of Jackson Llc | |
5360 I 55 N Ste 160 Jackson MS 39211-4055 | |
(601) 362-3131 | |
(601) 362-3339 |
Full Name | Alternatives For Life Treatment & Recovery Of Jackson Llc |
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Speciality | Clinic/Center |
Location | 5360 I 55 N Ste 160, Jackson, Mississippi |
Authorized Official Name and Position | Rueben S Bienvenu (PROGRAM SPONSOR) |
Authorized Official Contact | 3372981257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alternatives For Life Treatment & Recovery Of Jackson Llc Po Box 2344 Mandeville LA 70470-2344 Ph: (504) 812-6431 | Alternatives For Life Treatment & Recovery Of Jackson Llc 5360 I 55 N Ste 160 Jackson MS 39211-4055 Ph: (601) 362-3131 |
NPI Number | 1821248279 |
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Provider Enumeration Date | 09/23/2008 |
Last Update Date | 06/17/2021 |
Medicare PECOS PAC ID | 7517390628 |
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Medicare Enrollment ID | O20191204000224 |
Identifier | Type | State | Issuer |
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1821248279 | NPI | - | NPPES |
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