Latajaha Grinnell

Individual provider Active NPI Case Manager/Care Coordinator · Ferriday, LA

NPI 1366915548 · NPPES record last updated Jan 9, 2019

Key facts

NPI
1366915548
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
128 Louisiana Ave
Ferriday, LA 71334-2826
Phone
(318) 437-7157
Fax
(318) 437-7158
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
People United of Louisiana, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LA Yes

Addresses

Primary practice location

128 Louisiana Ave
Ferriday, LA 71334-2826

Mailing address

128 Louisiana Ave
Ferriday, LA 71334-2826
Phone (318) 437-7157

Other providers in Ferriday, LA

All providers in Ferriday, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.