# RURAL HEALTH CARE DEVELOPMENT CORPORATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Associate Family medical center of Bogalusa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801840210
- **Authorized official:** MS. TINA MARIE BENANDI (PRESIDENT)
- **Authorized official phone:** (985) 768-1995

## Contact information

- **Practice address:** 4700 WICHERS DR STE 206, MARRERO, LA 70072-3054
- **Practice address phone:** (985) 768-1995
- **Practice address fax:** (504) 340-4636
- **Mailing address:** 4700 WICHERS DR STE 206, MARRERO, LA 70072-3054
- **Mailing address phone:** (985) 768-1995
- **Mailing address fax:** (504) 340-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 12/29/2011