FAMILY HEALTHCARE OF BEAUREGARD, L.L.C.

DERIDDER, LA
NPI1982017273
Doing Business AsEDWIN R. BONILLA, M.D.
Entity TypeOrganization
Authorized ContactDARRELL L KINGHAM
CFO
337-462-7111
Organization Subpart ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2014-06-04
Last Update Date2014-06-04
Business Address
FAMILY HEALTHCARE OF BEAUREGARD, L.L.C.
403 W 8TH ST
DERIDDER, LA 70634-5507
Phone number: 337-463-8977
Mailing Address
FAMILY HEALTHCARE OF BEAUREGARD, L.L.C.
PO BOX 935
DERIDDER, LA 70634-0935
Phone number: 337-463-8977
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