Organization Name: | AN ANGEL'S TOUCH OF THE RIVER REGION INC |
NPI Number: | 1750561882 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH AVERY VICTOR (ADMINISTOR) |
Mailing Address: | 121 Marie St La Place |
State: | LA US |
Postal Code: | 700684175 |
Phone Number: | 9856517887 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 11/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 10007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |