NPI 1063826436

Mini Miracles Pediatric Day Health Center, LLC

Organisation Health Maintenance Organization Farmerville, LA

Practice location

Address: 120 Eagle Point Dr, Farmerville, LA 71241
Phone: (318) 368-8681

Authorised official

Name: Haley Auger
Title: Administrator
Phone: (318) 368-8996

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1063826436
Entity type: Organization
NPI issued: 13 Jun 2014
Record last updated: 3 Feb 2015

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.