NPI 1053766170

Heavenly Oasis

Organisation Health Maintenance Organization Monroe, LA

Practice location

Address: 2107 Honor St Suite C, Monroe, LA 71201-3648
Phone: (318) 516-9626

Authorised official

Name: Jeremiah Reed
Title: Massage Therapist
Phone: (318) 516-9626

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence LA5986 (LA)

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Registry record

NPI: 1053766170
Entity type: Organization
NPI issued: 26 Apr 2016
Record last updated: 26 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.