Organization
FAMILY HEALTH OF ST. HELENA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CRANOR (PRESIDENT/AUTHORIZED OFFICIAL)
(225) 665-5149
Entity
Organization
Contact information
Practice address
51991 HIGHWAY 16, DENHAM SPRINGS, LA 70706-3011
(225) 791-3092
(225) 791-3854
Mailing address
1810 FLORIDA BLVD, SUITE A, DENHAM SPRINGS, LA 70726-4930
(225) 791-3092
(225) 791-3854
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
RH0006883
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459607
—
LA
Enumeration date
07/15/2006
Last updated
06/10/2013
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