Organization
MANTECOL LLC
Active
Other names
Greenlight Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DYKES (OWNER)
(985) 348-0808
Entity
Organization
Contact information
Practice address
404 W UNIVERSITY AVE STE B, HAMMOND, LA 70401-1302
(985) 348-0808
Mailing address
404 W UNIVERSITY AVE STE B, HAMMOND, LA 70401-1302
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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