Renfro & Associates, Llc | |
3715 Williams Blvd Ste 105 Kenner LA 70065-3066 | |
(504) 201-2543 | |
Not Available |
Full Name | Renfro & Associates, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3715 Williams Blvd Ste 105, Kenner, Louisiana |
Authorized Official Name and Position | Darrell L Renfro (OWNER/OPERATOR) |
Authorized Official Contact | 5043394801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renfro & Associates, Llc 4132 Georgia Ave Apt A Kenner LA 70065-2283 Ph: (504) 339-4801 | Renfro & Associates, Llc 3715 Williams Blvd Ste 105 Kenner LA 70065-3066 Ph: (504) 201-2543 |
NPI Number | 1083933501 |
---|---|
Provider Enumeration Date | 05/24/2010 |
Last Update Date | 05/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083933501 | NPI | - | NPPES |
101Y00000X | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 3439 (Louisiana) | Primary |
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