NPI 1750561882

An Angel's Touch of the River Region INC

Organisation Health Maintenance Organization La Place, LA

Practice location

Address: 121 Marie St, La Place, LA 70068-4175
Phone: (985) 651-7887

Authorised official

Name: Kenneth Avery Victor
Title: Administor
Phone: (985) 651-7887

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 10007 (LA)

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Registry record

NPI: 1750561882
Entity type: Organization
NPI issued: 6 Nov 2007
Record last updated: 6 Nov 2007

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.