Organization
JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
Active
Other names
InclusivCare
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA ROSE (CFO)
(504) 437-8523
Entity
Organization
Contact information
Practice address
7201 LAPALCO BLVD, MARRERO, LA 70072-4523
(504) 437-8523
(504) 436-3665
Mailing address
PO BOX 2490, MARRERO, LA 70073-2490
(504) 437-8523
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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