Georgia Tucker Llc

LBN: Georgia Tucker Llc
Georgia Tucker Llc is an health care organization with primary practice located at 405 Stubbs Ave , Monroe LA 71201-5505. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Georgia Tucker Llc can be contacted via phone (318) 538-0040, or through Coburn, Kyle via phone (318) 789-2001.

Contact Information

Primary practice address
405 Stubbs Ave Monroe LA 71201-5505
Phone: (318) 538-0040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coburn, Kyle
Phone: (318) 789-2001

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1831779107
LBN Legal business name Georgia Tucker Llc
DBA Doing business as
Authorized official Coburn, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2021
Last updated Apr 12th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831779107 NPPES
Louisiana MEDICAID 1709581

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