IHSC @ LASALLE DETENTION FACILITY

JENA, LA
NPI1477894905
Other NameSTG INTERNATIONAL
Entity TypeOrganization
Authorized ContactROGER BALLARD
Cdr
318-992-7612
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP06993)
Enumeration Date2013-03-07
Last Update Date2013-03-08
Business Address
IHSC @ LASALLE DETENTION FACILITY
830 PINEHILL RD
JENA, LA 71342-4137
Phone number: 318-992-7613
Mailing Address
IHSC @ LASALLE DETENTION FACILITY
830 PINEHILL RD
JENA, LA 71342-4137
Phone number: 318-992-7613