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Organization

MAMOU HEALTH RESOURCES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAKE FONTENOT (CEO, BOARD PRESIDENT)
(337) 468-5959
Entity
Organization

Contact information

Practice address
1510 NAPOLEON ST, MAMOU, LA 70554-2320
(337) 468-2333
(337) 468-3620
Mailing address
300 SOUTH ST, MAMOU, LA 70554-4422
(337) 468-5959
(337) 468-5966

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1122785
LA
Enumeration date
07/01/2006
Last updated
08/22/2020
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