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Organization
HOUSE OF JACOB HEALTH SERVICES
Active
Organization
HOUSE OF JACOB HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTHER CLARISSE WANDA PHARM.D. (PRESIDENT)
(504) 251-8477
Entity
Organization
Contact information
Practice address
316 FILMORE ST, KENNER, LA 70062-7810
(504) 305-0035
(504) 305-0004
Mailing address
316 FILMORE ST, KENNER, LA 70062-7810
(504) 305-0035
(504) 305-0004
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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