SEASONS HEALTHCARE OF MONROE L.L.C. NPI 1265629166

NPI Information

SEASONS HEALTHCARE OF MONROE, L.L.C. is a general practice registered nurse in Monroe, LA. SEASONS HEALTHCARE OF MONROE, L.L.C. NPI is 1265629166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1888 HUDSON CIRCLE
SUITE 10
MONROE, LA
ZIP 71201
Phone: (318) 387-2828
Fax: (318) 387-2827

The provider's authorized official is Nathan Wayne Goodyear .
The authorized official title is Medical Director and has the following contact phone number (318) 387-2828.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 10/3/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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