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Organization
M' DIOR WELLNESS CENTER
Active
Organization
M' DIOR WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEMETRA HENDERSON (MANAGER)
(504) 265-7671
Entity
Organization
Contact information
Practice address
4005 S BAMBOO DR, HARVEY, LA 70058-5824
(504) 202-5739
Mailing address
4005 S BAMBOO DR, HARVEY, LA 70058-5824
(504) 202-5739
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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