Organization
TRANSAFRICAN DEVELOPMENT, INC.
Active
Other names
Jefferson Davis Rural Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR ELOKAN NDANDO-NGOO M.A. (FOUNDER/CEO)
(713) 292-8739
Entity
Organization
Contact information
Practice address
308 PALMER ST, WELSH, LA 70591-4320
(713) 292-8739
Mailing address
PO BOX 1015, LAKE CHARLES, LA 70602-1015
(713) 292-8739
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
LA
261QM0850X
Adult Mental Health Clinic/Center
—
LA
261QP2300X
Primary Care Clinic/Center
—
LA
261QR1300X
Rural Health Clinic/Center
Primary
—
LA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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