Trinity Integrated Health And Wellness Center LLC
General Practice in Natchitoches, LA. Organization (NPI-2).
NPI number1164043642
StatusActive
Last updated in NPPESDec 11, 2020
Details
- NPI
- 1164043642
- Entity type
- Organization (NPI-2)
- Legal business name
- Trinity Integrated Health And Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- May 6, 2020
- Certification date
- Dec 11, 2020
- Last updated
- Dec 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
366 South DrNatchitoches, LA 71457-5053
Phone 318-352-0099 · Fax 318-352-1032
Mailing address
366 South DrNatchitoches, LA 71457-5053
Phone 318-352-0099 · Fax 318-352-1032
Authorized official
Jon Eric Zeagler
Owner
3183520099
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