PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION

KINDER, LA
NPI1629132543
Doing Business AsCOUSHATTA FAMILY MEDICAL CENTER
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-12-22
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION
121 TURKEY LANE
KINDER, LA 70648
Phone number: 337-738-4414
Mailing Address
PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION
5500 MARYLAND WAY STE 200
BRENTWOOD, TN 37027-4973
Phone number: 216-479-9063