Basic Information
| Provider Information | |||||||||
| NPI: | 1841733557 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALFORD | ||||||||
| FirstName: | ASHLEY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1921 N RAILROAD AVE | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710013423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3185795105 | ||||||||
| FaxNumber: | 3185795106 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 N 31ST ST STE 1 | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 712013947 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3187377794 | ||||||||
| FaxNumber: | 3186054800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2016 | ||||||||
| LastUpdateDate: | 05/13/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.