Total Divine Care Llc | |
1840 North Washington Street Bastrop LA 71220 | |
(318) 283-1010 | |
Not Available |
Full Name | Total Divine Care Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1840 North Washington Street, Bastrop, Louisiana |
Authorized Official Name and Position | Arielle Mcneal (OWNER) |
Authorized Official Contact | 3182675190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Total Divine Care Llc 1840 North Washington Street Bastrop LA 71220 Ph: () - | Total Divine Care Llc 1840 North Washington Street Bastrop LA 71220 Ph: (318) 283-1010 |
NPI Number | 1386179307 |
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Provider Enumeration Date | 04/27/2017 |
Last Update Date | 04/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386179307 | NPI | - | NPPES |
251S00000X | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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