NPI 1073973905

Michelle L Wall, LLC

Organisation Case Management Agency Lake Charles, LA

Practice location

Address: 1 Lakeshore Dr Suite 1620, Lake Charles, LA 70629-0100
Phone: (337) 421-1510
Fax: (337) 421-1516
Mailing address: PO Box 1284, Denham Springs, LA 70727-1284

Authorised official

Name: Michelle Wall
Title: Owner
Phone: (225) 667-4014

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 27071 (LA)

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Registry record

NPI: 1073973905
Entity type: Organization
NPI issued: 4 Mar 2016
Record last updated: 4 Mar 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.