Basic Information
| Provider Information | |||||||||
| NPI: | 1770062994 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACQUISITIONS OF DEVELOPING ORGANIZATIONS, L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8166 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HOUMA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703603404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9858734751 | ||||||||
| FaxNumber: | 9858733789 | ||||||||
| Practice Location | |||||||||
| Address1: | 316 CIVIC CENTER BLVD | ||||||||
| Address2: | |||||||||
| City: | HOUMA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703606088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9852740550 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2018 | ||||||||
| LastUpdateDate: | 09/12/2018 | ||||||||
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| AuthorizedOfficialLastName: | PEOPLES | ||||||||
| AuthorizedOfficialFirstName: | PHYLLIS | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9858734141 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1 | ||||||||
| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | LA | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology |
No ID Information.