Provider Demographics
NPI:1073988622
Name:MCDOWELL JOHNSON & ASSOCIATES
Entity Type:Organization
Organization Name:MCDOWELL JOHNSON & ASSOCIATES
Other - Org Name:ALL ABOUT YOU SUPPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-878-4510
Mailing Address - Street 1:616 FIRST ST
Mailing Address - Street 2:PO BOX 781
Mailing Address - City:DELHI
Mailing Address - State:LA
Mailing Address - Zip Code:71232-2504
Mailing Address - Country:US
Mailing Address - Phone:318-878-4510
Mailing Address - Fax:318-878-0228
Practice Address - Street 1:616 FIRST ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:LA
Practice Address - Zip Code:71232-2504
Practice Address - Country:US
Practice Address - Phone:318-878-4510
Practice Address - Fax:318-878-0228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781086253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1629123757Medicaid
LA1760602833Medicaid
LA1215157383Medicaid