A-1 NORTHWEST LA INCS, LLC

RUSTON, LA
NPI1437274974
Entity TypeOrganization
Authorized ContactCINDY S PARKER
Regional Coordinator
318-636-0390
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: LA  11882)
Enumeration Date2007-03-21
Last Update Date2020-08-22
Business Address
A-1 NORTHWEST LA INCS, LLC
103 W ALABAMA AVE
RUSTON, LA 71270-4403
Phone number: 318-636-0390
Mailing Address
A-1 NORTHWEST LA INCS, LLC
PO BOX 1345
RUSTON, LA 71273-1345
Phone number: 318-636-0390