Organization
ACCESS HEALTH LOUISIANA
Active
Other names
Destrehan High SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK F KEISER (CEO)
(504) 575-3700
Entity
Organization
Contact information
Practice address
1 WILDCAT LN, DESTREHAN, LA 70047-4001
(866) 530-6111
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 575-3712
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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