Organization
CHILDREN'S INTERNATIONAL, LLC
Active
Other names
Children's International Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANJEL ELLIS (LOGISTIC OFFICER)
(985) 646-1580
Entity
Organization
Contact information
Practice address
930 HALL ST, WIGGINS, MS 39577-2113
(985) 646-1580
Mailing address
59101 AMBER ST, SLIDELL, LA 70461-3708
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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