Assurance Care Provider, Llc | |
Assurance Care Provider, Llc 2145 Reverend Richard Wilson Dr. Kenner LA 70062-7606 | |
(504) 472-0078 | |
(504) 472-0068 |
Full Name | Assurance Care Provider, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | Assurance Care Provider, Llc, Kenner, Louisiana |
Authorized Official Name and Position | Ronald Tassin (OWNER) |
Authorized Official Contact | 5044720068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Assurance Care Provider, Llc Assurance Care Provider, Llc 2145 Reverend Richard Wilson Dr. Kenner LA 70062-7606 Ph: (504) 472-0078 | Assurance Care Provider, Llc Assurance Care Provider, Llc 2145 Reverend Richard Wilson Dr. Kenner LA 70062-7606 Ph: (504) 472-0078 |
NPI Number | 1114052826 |
---|---|
Provider Enumeration Date | 02/22/2007 |
Last Update Date | 01/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114052826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1174998 (Louisiana) | Primary |
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