Organization
CHITIMACHA TRIBE OF LOUISIANA
Active
Parent organization
CHITIMACHA TRIBE OF LOUISIANA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHITIMACHA TRIBE OF LOUISIANA
Authorized official
MS. TRICIA LYNN MORA (DIRECTOR HEALTH AND HUMAN SERVICES)
(337) 923-9955
Entity
Organization
Contact information
Practice address
3231 CHITIMACHA TRAIL, CHARENTON, LA 70523-0661
(337) 923-9955
(337) 923-6848
Mailing address
PO BOX 640, CHARENTON, LA 70523-0640
(337) 923-9955
(337) 923-6848
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15134R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1233978
—
LA
Enumeration date
01/26/2007
Last updated
06/20/2013
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