| Amazing Care, Llc | |
|
765 S Bonner St Ruston LA 71270-5801 | |
| (318) 202-5935 | |
| (318) 202-5933 |
| Full Name | Amazing Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 765 S Bonner St, Ruston, Louisiana |
| Authorized Official Name and Position | Wanda J Ovitt (PRESIDENT) |
| Authorized Official Contact | 3182025935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Care, Llc Po Box 1839 Ruston LA 71273-1839 Ph: (318) 202-5935 | Amazing Care, Llc 765 S Bonner St Ruston LA 71270-5801 Ph: (318) 202-5935 |
| NPI Number | 1134438591 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134438591 | NPI | - | NPPES |
| 2131320 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Louisiana) | Primary |
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