Most Relevant Information
Provider Data
| NPI Number: | 1003304569 |
| Provider Name: | CHARLES FOSTER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2018 |
| Last Updated: | 05/14/2018 |
Provider Practice Location
1705 FELICIA AVE
TALLULAH
LA
71282
Practice Location Phone/Fax
| Phone: | 3185741232 |
| Fax: | 3185748646 |
Provider Mailing Location
1705 FELICIA AVE
TALLULAH
LA
712828203
Provider Mailing Phone/Fax
| Phone: | 3185741232 |
| Fax: | 3185748646 |