NPI

Berachah Valley Corporation

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2007-03-30
Last updated
2020-08-22

Specialties

Licenses

License LA
PCA6676

Location

Practice location
1505 Mccreight St
City
Bastrop LA
Postal code
71220-2454
Phone
(318) 757-9718

Organization contact

Name
PHILLIS BURRESS
Title
OWNER
Phone
3187579718

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Bastrop, LA. 529 records in the public file.

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