Eternity Health Care Clinic, Llc
LBN: Eternity Health Care Clinic, Llc
Eternity Health Care Clinic, Llc is an health care organization with primary practice located at 1432 Fournet St , Lake Charles LA 70601-2452. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as the primary health care specialty.
Eternity Health Care Clinic, Llc can be contacted via phone (337) 439-4220, or through Leday Bryant, Nona Marie via phone (337) 439-4220.
Contact Information
Primary practice address
1432 Fournet St
Lake Charles LA 70601-2452
Phone: (337) 439-4220
Fax: (337) 439-6351
Website:
Authorized official contact:
Name: Leday Bryant, Nona Marie Clinical Nurse Specialist (CNS)
Phone: (337) 439-4220
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | RN050908 AP03651 | Louisiana |
Profile Details
| NPI number | 1548206436 |
|---|---|
| LBN Legal business name | Eternity Health Care Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Leday Bryant, Nona Marie Clinical Nurse Specialist (CNS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548206436 | NPPES |
| Louisiana | MEDICAID | 1106798 |
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