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NPI 1295952190

OrganizationActive

1st a Southeast Incs, LLC

NPI 1295952190 · Point of Service · Houma, LA

Provider details

NPI number: 1295952190
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Authorized official: Suzanne Dickerson, Program Coordinator
License: 12649 (LA)

Practice location

614 Roussell St

Houma, LA 70360-4556

Phone: (985) 876-0559

More LA providers

Mailing address

614 Roussell St

Houma, LA 70360-4556

Registry dates

Enumerated: 2007-04-20
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1st a Southeast Incs, LLC — NPI 1295952190, Houma, LA | NPI Central