OrganizationActive
1st a Southeast Incs, LLC
NPI 1407074164 · Point of Service · Houma, LA
Provider details
- NPI number
- 1407074164
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Authorized official
- Suzanne Dickerson, Program Coordinator
- License
- 12649 (LA)
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.