Most Relevant Information
Provider Data
| NPI Number: | 1003525650 |
| Provider Name: | SARAH MARCANTEL MANVILLE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/22/2022 |
| Last Updated: | 11/22/2022 |
Provider Practice Location
11408 LAKE SHERWOOD AVE N STE A
BATON ROUGE
LA
708160421
Practice Location Phone/Fax
| Phone: | 2252617143 |
| Fax: |
Provider Mailing Location
1061 ALIDA ST
EUNICE
LA
705352207
Provider Mailing Phone/Fax
| Phone: | 3375803880 |
| Fax: |