Dajah Gant
Individual provider Active NPI Case Manager/Care Coordinator · Mansfield, LA
NPI 1245803550 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1245803550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 419 Washington Ave
Mansfield, LA 71052-3103 - Phone
- (318) 872-0262
- NPI assigned
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
419 Washington Ave
Mansfield, LA 71052-3103
Mailing address
419 Washington Ave
Mansfield, LA 71052-3103
Other providers in Mansfield, LA
- Lisa E Falcon
- Marie Fuller
- Shania Fuller
- Sheraton Fuller
- Jasmine Furlow
- Shantae Marie Gant
- Sharonda Michelle Gant
- Trineisia Golsotn
- Terry Bennett Goodrich
- Latisha Graham
All providers in Mansfield, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.