Organization
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED
Active
Other names
Care South
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW VALLIERE (CEO)
(225) 650-2026
Entity
Organization
Contact information
Practice address
4852 HIGHWAY 19, ZACHARY, LA 70791-3530
(225) 478-9030
Mailing address
PO BOX 66156, BATON ROUGE, LA 70896-6156
(225) 478-9030
(225) 615-8156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
10/31/2024
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