An Angel'S Touch of the River Region Inc

Organization Active NPI Health Maintenance Organization · La Place, LA

NPI 1730369869 · NPPES record last updated Nov 6, 2007

Key facts

NPI
1730369869
Entity type
Organization (NPI type 2)
Primary specialty
Health Maintenance Organization 302R00000X
License
9580 (LA)
Legal business name
AN ANGEL'S TOUCH OF THE RIVER REGION INC
Practice address
121 Marie St
La Place, LA 70068-4175
Phone
(987) 651-7887
NPI assigned
Nov 6, 2007
Organization subpart
Yes
Parent organization (as reported)
AN ANGEL'S TOUCH OF THE RIVER REGION INC

Authorized official

Name
Mr. Kenneth Avery Victor
Title
Administor
Phone
(985) 651-7887

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
An Angels Touch of the River Region (4 organizations share this tax ID)
Part of
An Angels Touch of the River Region

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 9580 LA Yes

Addresses

Primary practice location

121 Marie St
La Place, LA 70068-4175

Mailing address

121 Marie St
La Place, LA 70068-4175
Phone (987) 651-7887

Other identifiers

IdentifierTypeStateIssuer
1173291MedicaidLA

Other providers in La Place, LA

All providers in La Place, LA · Health Maintenance Organization in Louisiana

Sources for this page

Verify at the official NPI Registry.