NPI 1598983256

1st a Southeast Incs, LLC

Organisation Point of Service Houma, LA

Practice location

Address: 614 Roussell St, Houma, LA 70360-4556
Phone: (985) 876-0559

Authorised official

Name: Suzanne Dickerson
Title: Program Coordinator
Phone: (985) 876-0559

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 12647 (LA)

Other Point of Service providers in Louisiana →

Registry record

NPI: 1598983256
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 22 Aug 2020

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.