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Organization
OH PROJECT- SOUTHSHORE
Active
Organization
OH PROJECT- SOUTHSHORE
Active
Other names
Ohana Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SEQUILLA CARTER (OWNER)
(504) 450-6769
Entity
Organization
Contact information
Practice address
23515 U.S. 190, NORTHLAKE ACADEMY BUILDING, MANDEVILLE, LA 70447
(985) 276-3040
Mailing address
PO BOX 957, MADISONVILLE, LA 70447-0957
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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