NPI 1215444625

Michelle L Wall, LLC

Organisation Case Management Agency Metairie, LA

Practice location

Address: 3501 Severn Ave STE 22a, Metairie, LA 70002-3481
Phone: (504) 520-8545
Mailing address: PO Box 1284, Denham Springs, LA 70727-1284

Authorised official

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

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 27044 (LA)

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Registry record

NPI: 1215444625
Entity type: Organization
NPI issued: 8 Jan 2018
Record last updated: 8 Jan 2018

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.