Organization Name: | MINI MIRACLES PEDIATRIC DAY HEALTH CENTER, LLC |
NPI Number: | 1063826436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HALEY AUGER (ADMINISTRATOR) |
Mailing Address: | 120 Eagle Point Dr Farmerville |
State: | LA US |
Postal Code: | 71241 |
Phone Number: | 3183688681 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |