| Delavallade House Of Pineville, Llc | |
|
1312 Jeannie St Suite A Pineville LA 71360-5340 | |
| (504) 256-6196 | |
| (318) 443-0429 |
| Full Name | Delavallade House Of Pineville, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1312 Jeannie St, Pineville, Louisiana |
| Authorized Official Name and Position | Voncille L Delavallade (OWNER) |
| Authorized Official Contact | 5042566196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delavallade House Of Pineville, Llc 3917 Trinity Church Rd Pineville LA 71360-8412 Ph: (504) 256-6196 | Delavallade House Of Pineville, Llc 1312 Jeannie St Suite A Pineville LA 71360-5340 Ph: (504) 256-6196 |
| NPI Number | 1295105872 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 02/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295105872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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