DARRELL COMANCHE

MONROE, LA
NPI1700390879
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2017-11-27
Last Update Date2018-05-30
Business Address
DARRELL COMANCHE MHS
1800 STUBBS AVE
MONROE, LA 71201
Phone number: 318-730-9540
Mailing Address
DARRELL COMANCHE MHS
114 INEICHEN ST
RAYVILLE, LA 71269-3223
Phone number: 318-417-7780