Provider Demographics
NPI:1447593975
Name:HEALTH RESOURCE LLC
Entity Type:Organization
Organization Name:HEALTH RESOURCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:985-956-7400
Mailing Address - Street 1:2105 RUE SIMONE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-5727
Mailing Address - Country:US
Mailing Address - Phone:985-956-7400
Mailing Address - Fax:985-956-7402
Practice Address - Street 1:2105 RUE SIMONE
Practice Address - Street 2:SUITE B
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-5727
Practice Address - Country:US
Practice Address - Phone:985-956-7400
Practice Address - Fax:985-956-7402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty