Organization
FLEUR DE LIS COMMUNITY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA B NEELY RN MSN FNP-C (SECRETARY TREASURER)
(337) 668-4141
Entity
Organization
Contact information
Practice address
376 MAIN ST, CANKTON, LA 70584-5920
(337) 668-4141
(337) 668-4386
Mailing address
376 MAIN ST, CANKTON, LA 70584-5920
(337) 668-4141
(337) 668-4386
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PENDING
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447919
—
LA
Enumeration date
09/09/2005
Last updated
10/07/2014
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