The Dragonfly Harbor, Inc. | |
2307 Lily Dr Ruston LA 71270-2622 | |
(318) 953-1950 | |
Not Available |
Full Name | The Dragonfly Harbor, Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 2307 Lily Dr, Ruston, Louisiana |
Authorized Official Name and Position | Tiffani A Robinson (PRESIDENT) |
Authorized Official Contact | 3189531950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Dragonfly Harbor, Inc. 2307 Lily Dr Ruston LA 71270-2622 Ph: (318) 953-1950 | The Dragonfly Harbor, Inc. 2307 Lily Dr Ruston LA 71270-2622 Ph: (318) 953-1950 |
NPI Number | 1265015119 |
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Provider Enumeration Date | 04/29/2021 |
Last Update Date | 04/29/2021 |
Certification Date | 04/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265015119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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