NPI 1104222959

Preventive Measures Programs INC

Organisation Exclusive Provider Organization Tallulah, LA

Practice location

Address: 805 N Beech St, Tallulah, LA 71282-3809
Phone: (318) 574-0098
Fax: (318) 574-0066

Authorised official

Name: Carla Holmes
Title: Adminstrator
Phone: (318) 574-0098

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1882224 (LA)

Other Exclusive Provider Organization providers in Louisiana →

Registry record

NPI: 1104222959
Entity type: Organization
NPI issued: 6 Nov 2014
Record last updated: 6 Nov 2014

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.