| Michael Gaines And Faith Llc | |
|
13888 Plank Rd Baker LA 70714-4929 | |
| (225) 636-2638 | |
| Not Available |
| Full Name | Michael Gaines And Faith Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13888 Plank Rd, Baker, Louisiana |
| Authorized Official Name and Position | Michael Gaines (DIRECTOR) |
| Authorized Official Contact | 2256362638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gaines And Faith Llc 13888 Plank Rd Baker LA 70714-4929 Ph: () - | Michael Gaines And Faith Llc 13888 Plank Rd Baker LA 70714-4929 Ph: (225) 636-2638 |
| NPI Number | 1679938617 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679938617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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