Organization
EXCELTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDRY (CEO)
(504) 524-1210
Entity
Organization
Contact information
Practice address
1515 POYDRAS ST STE 1070, NEW ORLEANS, LA 70112-4520
(504) 524-1210
(504) 524-1971
Mailing address
4560 NORTH BLVD, SUITE 104, BATRON ROUGE, LA 70860
(225) 201-9862
(225) 201-9799
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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