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THE EXTRA MILE, REGION IV, INC.

Rehabilitation, Substance Use Disorder

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Contact Information

THE EXTRA MILE, REGION IV, INC.
808 PITT RD
SCOTT, LA  70583-4608
 Phone: 337-337-8064
 Fax: 337-237-2083
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

 261QR0405X
Indicates primary specialty

NPI Profile & details for THE EXTRA MILE, REGION IV, INC.

NPI Number 1154016475
LBN Legal business name THE EXTRA MILE, REGION IV, INC.
Authorized official HALLIE ALLGOOD - (CREDENTIALS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2023
Last updated 04/11/2023 - About 3 years ago
Identifiers n/a
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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