Deion A Jack
Case Manager/Care Coordinator in Lecompte, LA. Individual provider (NPI-1).
NPI number1770017931
StatusActive
Last updated in NPPESMay 17, 2018
Details
- NPI
- 1770017931
- Entity type
- Individual (NPI-1)
- Name
- Mr. Deion A Jack
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2017
- Last updated
- May 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2204 St. Charles StLecompte, LA 71346
Phone 318-406-3044 · Fax 318-406-3045
Mailing address
2204 St. Charles StLecompte, LA 71346
Phone 318-406-3044 · Fax 318-406-3045
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All 9 Case Manager/Care Coordinator providers in Lecompte · All 39 providers in Lecompte
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