A1 NORTHWEST LA INCS,LLC

RUSTON, LA
NPI1891988945
Entity TypeOrganization
Authorized ContactCINDY S PARKER
Regional Coordinator
318-636-0390
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: LA  11882)
Enumeration Date2007-08-22
Last Update Date2007-08-22
Business Address
A1 NORTHWEST LA INCS,LLC
103 W ALABAMA AVE
RUSTON, LA 71270-4403
Phone number: 318-513-9038
Mailing Address
A1 NORTHWEST LA INCS,LLC
PO BOX 1345
RUSTON, LA 71273-1345
Phone number: 318-513-9038
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