NPI 1497971071
Michelle L Wall
Practice location
- Address
- 680 Centerville St NE, Denham Springs, LA 70726-3512
- Phone
- (225) 667-4014
- Fax
- (225) 667-4886
- Mailing address
- PO Box 1284, Denham Springs, LA 70727-1284
Authorised official
- Name
- Michelle L Wall
- Title
- Owner - President
- Phone
- (225) 667-4014
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1497971071
- Entity type
- Organization
- NPI issued
- 18 Apr 2007
- Record last updated
- 1 Dec 2010
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.