Provider Demographics
NPI:1790830198
Name:KING HEALTH CARE, INC.
Entity Type:Organization
Organization Name:KING HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MERCER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:318-396-8010
Mailing Address - Street 1:161 REX ROBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-1728
Mailing Address - Country:US
Mailing Address - Phone:318-396-8010
Mailing Address - Fax:318-396-0871
Practice Address - Street 1:161 REX ROBERTSON RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-1728
Practice Address - Country:US
Practice Address - Phone:318-396-8010
Practice Address - Fax:318-396-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty