Organization Name: | ACADIANA WOUND CARE SPECIALIST, LLC |
NPI Number: | 1750563771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA DEVILLIER (PARTNER) |
Mailing Address: | 6948 Veterans Memorial Hwy. Mamou |
State: | LA US |
Postal Code: | 705544823 |
Phone Number: | 8886696863 |
Fax Number: | 8884569223 |
NPI Enumeration Date: | 11/30/2007 |
NPI Last Update Date: | 11/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | RN059946 |
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 |