Provider Demographics
NPI:1699021634
Name:GALROB, INC.
Entity Type:Organization
Organization Name:GALROB, INC.
Other - Org Name:PERSONALIZED CARE OF AVOYELLES RHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-359-5759
Mailing Address - Street 1:1408 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:COTTONPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71327-3514
Mailing Address - Country:US
Mailing Address - Phone:318-359-5759
Mailing Address - Fax:318-876-2803
Practice Address - Street 1:1408 FRONT ST
Practice Address - Street 2:
Practice Address - City:COTTONPORT
Practice Address - State:LA
Practice Address - Zip Code:71327-3514
Practice Address - Country:US
Practice Address - Phone:318-359-5759
Practice Address - Fax:318-876-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1800821Medicaid