Organization
IOTA FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HERBERT DOUCET WHNP/FNP (OWNER)
(337) 275-6915
Entity
Organization
Contact information
Practice address
119 SOUTH 5TH STREET, IOTA, LA 70543
(337) 275-6915
Mailing address
119 S 5TH ST, IOTA, LA 70543-6105
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2364031
—
LA
Enumeration date
08/01/2011
Last updated
03/11/2021
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