Provider Demographics
NPI:1780975052
Name:ALL SEASONS FAMILY CARE OF MONROE, LLC
Entity type:Organization
Organization Name:ALL SEASONS FAMILY CARE OF MONROE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MECHE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTIONER
Authorized Official - Phone:318-387-2828
Mailing Address - Street 1:1888 HUDSON CIR
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3546
Mailing Address - Country:US
Mailing Address - Phone:318-387-2828
Mailing Address - Fax:318-387-2827
Practice Address - Street 1:1888 HUDSON CIRCLE
Practice Address - Street 2:SUITE 10
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71270
Practice Address - Country:US
Practice Address - Phone:318-387-2828
Practice Address - Fax:318-387-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1335789Medicaid
LA1225065709OtherNPI
LA008736OtherCDS
56609OtherMEDICARE
56609OtherMEDICARE