| Organization Name: | AVOYELLES ADULT CARE A PROFESSIONAL MEDICAL CORPORATION |
| NPI Number: | 1174681647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY O CORLEY (OFFICE MANAGER) |
| Mailing Address: | 4239 Highway 1192 Suite 200 Marksville |
| State: | LA US |
| Postal Code: | 713512956 |
| Phone Number: | 3182538600 |
| Fax Number: | 3182538654 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 04/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 023281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |