| Rosemore Garner Jr | |
|
6201 Summerlin Dr Zachary LA 70791-2672 | |
| (225) 315-9905 | |
| Not Available |
| Full Name | Rosemore Garner Jr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6201 Summerlin Dr, Zachary, Louisiana |
| Authorized Official Name and Position | Rosemore Garner (MHS) |
| Authorized Official Contact | 2253159905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemore Garner Jr 6201 Summerlin Dr Zachary LA 70791-2672 Ph: (225) 315-9905 | Rosemore Garner Jr 6201 Summerlin Dr Zachary LA 70791-2672 Ph: (225) 315-9905 |
| NPI Number | 1902263080 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 01/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902263080 | NPI | - | NPPES |
| 1159204 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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