Provider Demographics
NPI:1083924385
Name:DOCTORS BRINGING IT HOME LLC
Entity Type:Organization
Organization Name:DOCTORS BRINGING IT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-303-3035
Mailing Address - Street 1:107 LELA ST
Mailing Address - Street 2:
Mailing Address - City:MANGHAM
Mailing Address - State:LA
Mailing Address - Zip Code:71259-5063
Mailing Address - Country:US
Mailing Address - Phone:318-303-3035
Mailing Address - Fax:308-248-2168
Practice Address - Street 1:107 LELA ST
Practice Address - Street 2:
Practice Address - City:MANGHAM
Practice Address - State:LA
Practice Address - Zip Code:71259-5063
Practice Address - Country:US
Practice Address - Phone:318-303-3035
Practice Address - Fax:308-248-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care