Gerald Martinez, Llc
Gerald Martinez, Llc is a health care provider in Denham Springs, LA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 32649 Perkins Rd, Denham Springs, LA 70706-1152, US |
|Practice Location Phone||225-933-7488|
|Practice Location Fax|
|Legal Business Name||GERALD MARTINEZ, LLC|
|Other Organization Name||SUMMER HOUSE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Dec 27, 2007|
|Last Update Date ? ||Feb 2, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Gerald Martinez, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|| ||Louisiana|
Legacy Provider IDs of Gerald Martinez, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Gerald Martinez, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Gerald Martinez, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Ms. Laresa Osborne Teekel (QMRP)|
|Authorized Official Title/Position||ADMINISTRATOR|
|Authorized Official Phone Number||225-933-7488|