Organization
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Active
Other names
Inclusivcare
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA ROSE (CFO)
(504) 206-7738
Entity
Organization
Contact information
Practice address
1429 AMES BLVD, MARRERO, LA 70072-2867
(504) 341-4006
(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
06/21/2023
Last updated
06/21/2023
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