Medical Management Enterprises in Gonzales - Intermediate Care Facility, Intellectual Disabilities
Medical Management Enterprises - NPI 1336345057
Medical Management Enterprises is a Intermediate Care Facility, Intellectual Disabilities in Gonzales, Louisiana. Medical Management Enterprises practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Medical Management Enterprises is 1336345057. The last update date is 2013-09-03.
Medical Management Enterprises's current location address is Po Box 819, Gonzales, Louisiana. You can contact this provider via phone number 2256447994. The mailing address for Medical Management Enterprises is Po Box 819, Gonzales, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Medical Management Enterprises |
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Address | Po Box 819, Gonzales, Louisiana |
Phone Number | 2256447994 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Borg W. Gary |
Telephone Number | 2256447994 |
NPI Number Detail
NPI Number | 1336345057 |
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Provider Enumeration Date | 2007-06-21 |
Last Updated Date | 2013-09-03 |
Provider Mailing Address Detail
Address | Po Box 819 |
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City | Gonzales |
State | Louisiana (LA) |
Post Code | 707070819 |
Phone Number | 2256447994 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 463 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1716952 | LA | -- |
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What is the Medical Management Enterprises's 1336345057?
The Medical Management Enterprises's NPI (National Provider Identifier) Number is 1336345057. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Medical Management Enterprises's physical address?
The Medical Management Enterprises is physically located at Po Box 819, in the city of Gonzales, LA, with the postal code 707070819.
What is Medical Management Enterprises's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medical Management Enterprises's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
When was the Medical Management Enterprises's 1336345057 issued?
The Medical Management Enterprises's 1336345057 was issued on 2007-06-21.
As of what date was the information regarding Medical Management Enterprises, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Medical Management Enterprises, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-03.