Organization
FAMILY HEALTH MEDICAL BUILDING, LLC
Active
Other names
FAMILY HEALTH MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN H BUSBY LPN (CLINICAL ADMINISTRATOR)
(225) 665-5149
Entity
Organization
Contact information
Practice address
8369 FLORIDA BLVD, STE 1, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770
Mailing address
8369 FLORIDA BLVD, STE 1, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042153
—
LA
Enumeration date
01/16/2014
Last updated
01/16/2014
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