# JENA M ROY FNP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Basile Family Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366847139
- **Authorized official:** JENA M ROY FNP (SOLE MEMBER/ADMINISTRATOR)
- **Authorized official phone:** (337) 432-5552

## Contact information

- **Practice address:** 2932 STAGG AVE, SUITE A, BASILE, LA 70515-5560
- **Practice address phone:** (337) 432-5552
- **Practice address fax:** (337) 432-5553
- **Mailing address:** 2932 STAGG AVE, SUITE A, BASILE, LA 70515-5560
- **Mailing address phone:** (337) 432-5552
- **Mailing address fax:** (337) 432-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | APPLIED FOR | LA | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 10/23/2014
