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NOVA VITAL IOP LLC

Rehabilitation, Substance Use Disorder

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Contact Information

NOVA VITAL IOP LLC
850 MARGARET PL
SHREVEPORT, LA  71101-4521
 Phone: 318-268-6101
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

 261QR0405X
Indicates primary specialty

NPI Profile & details for NOVA VITAL IOP LLC

NPI # 1477242196
LBN Legal business name NOVA VITAL IOP LLC
Authorized official MALLORY MACISAAC - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2023
Last updated 04/05/2024 - About 2 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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