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Contact Information

TOTAL DIVINE CARE LLC
1840 NORTH WASHINGTON STREET
BASTROP, LA71220
 Phone: 318-283-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for TOTAL DIVINE CARE LLC

NPI Number 1386179307
LBN Legal business name TOTAL DIVINE CARE LLC
Authorized official ARIELLE MCNEAL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2017
Last updated 04/27/2017 - About 9 years ago
Identifiers
LA Medicaid 251S00000X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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