A-1 NORTHWEST LA INCS, LLC
Organization (NPI-2)
Active
Point of Service
Provider Information
- NPI Number
1194856559- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 103 W ALABAMA AVE, RUSTON, LA, 712704403
- Phone
- (318) 513-9038
- Fax
- (318) 513-9039
Specialties & Taxonomies
Point of Service
Primary License: LA #11884