MMO OF COVINGTON, LLC
Ambulatory Health at Greenbriar Blvd, Covington, LA

License number
Louisiana 194701
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: MR. ROBERT L. MILLER
Title: EXECUTIVE OFFICER
Phone: (225) 293-6774
Address
Address 2
201 Greenbriar Blvd, Covington, LA 70433
728 North Blvd NORTH, Baton Rouge, LA 70802
National Provider ID: 1669428140
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MMO OF COVINGTON, LLC at bizstanding.com

MMO OF COVINGTON, LLC

Baton Rouge, LA

Registration:
Nov 9, 2005
Addresses:
728 N Blvd, Baton Rouge, LA 70802 (Physical)
C/O Robert L Miller, Baton Rouge, LA 70802 (Mailing)
State ID:
36047941K
Business type:
Limited Liability Company
Manager:
Robert L. Miller (Manager), 728 N Blvd, Baton Rouge, LA 70802 (Physical)

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