Myrtle Burks
Case Manager/Care Coordinator in Monroe, LA. Individual provider (NPI-1).
NPI number1164060331
StatusActive
Last updated in NPPESDec 18, 2019
Details
- NPI
- 1164060331
- Entity type
- Individual (NPI-1)
- Name
- Myrtle Burks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2019
- Certification date
- Dec 18, 2019
- Last updated
- Dec 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
820 Jackson StMonroe, LA 71201-8422
Phone 318-348-5364
Mailing address
216 Ouachita AveMonroe, LA 71201-8513
Phone 318-322-4770
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