PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION

NORCO, LA
NPI1609698877
Doing Business AsVALERO EMPLOYEE WELLNESS CENTER
Entity TypeOrganization
Authorized ContactJONATHAN B LEIZMAN
President
615-468-6270
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION
14902 RIVER RD
NORCO, LA 70079-2543
Phone number: 985-764-4666
Mailing Address
PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: