Organization
JABOURS PERSONAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARICE ALTHEA JABOUR (OWNER)
(985) 651-0817
Entity
Organization
Contact information
Practice address
1005 W AIRLINE HWY, LA PLACE, LA 70068-3714
(985) 651-0817
(985) 651-0212
Mailing address
1005 W AIRLINE HWY, LA PLACE, LA 70068-3714
(985) 651-0817
(985) 651-0212
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PCA11435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706744
—
LA
Enumeration date
05/14/2008
Last updated
05/14/2008
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