LIFENET

MANDEVILLE, LA
NPI1740539410
Entity TypeOrganization
Authorized ContactSHARISSA TAYLOR
Owner
985-778-9141
Organization Subpart ?No
Primary Taxonomy261QM0801X 
(Licence: LA  ap03867)
Enumeration Date2012-09-10
Last Update Date2012-09-10
Business Address
LIFENET
4050 LONESOME RD STE A
MANDEVILLE, LA 70448-7085
Phone number: 985-778-9141
Mailing Address
LIFENET
4050 LONESOME RD STE A
MANDEVILLE, LA 70448-7085
Phone number: 985-778-9141