Individual provider · NPI-1

Tyrone Banks

Case Manager/Care Coordinator · Harvey, LA

NPI number1407671829
StatusActive
Last updated in NPPESNov 20, 2024

Details

NPI
1407671829
Entity type
Individual (NPI-1)
Name
Tyrone Banks
Sex
Male
Sole proprietor
No
Enumeration date
Nov 20, 2024
Certification date
Nov 20, 2024
Last updated
Nov 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2439 Manhattan Blvd Ste 207
Harvey, LA 70058-5361

Phone 504-364-8949 · Fax 504-364-8968

Mailing address

2439 Manhattan Blvd Ste 207
Harvey, LA 70058-5361

Phone 504-364-8949 · Fax 504-364-8968

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