Green Meadow Haven

NPI #1912121716 in Coushatta, Louisiana

Provider Information

NPI Number
1912121716
Entity Type
Organization
Organization Name
Green Meadow Haven
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1110 RINGGOLD AVE
ZIP Code
71019-9073
Phone
(318) 932-5006

Authorized Official

Name
MRS. RUTH PRISOCK
Title
OWNER
Phone
(318) 932-5006

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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