A1 Northwest La Incs,llc

NPI #1891988945 in Ruston, Louisiana

Provider Information

NPI Number: 1891988945
Entity Type: Organization
Organization Name: A1 Northwest La Incs,llc
Primary Specialty: Point of Service
Enumeration Date: Aug 22, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 103 W ALABAMA AVE
City: Ruston
State: Louisiana
ZIP Code: 71270-4403
Phone: (318) 513-9038

Authorized Official

Name: MRS. CINDY S PARKER, R.N.
Title: REGIONAL COORDINATOR
Phone: (318) 636-0390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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