GREEN CLINIC LLC

RUSTON, LA
NPI1891801601
Entity TypeOrganization
Authorized ContactINDIA CARROLL
CEO
318-255-3690
Organization Subpart ?Yes
Primary Taxonomy261QP2000X Clinic/Center Physical Therapy
Enumeration Date2006-08-22
Last Update Date2019-02-13
Business Address
GREEN CLINIC LLC
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-251-6103
Mailing Address
GREEN CLINIC LLC
PO BOX 1594
RUSTON, LA 71273-1594
Phone number: 318-251-6103
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