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Organization

PELICAN HEALTHCARE SYSTEM LLC

Active
Other names
Ndando House
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR ELOKAN NDANDO-NGOO M.A. (ADMINISTRATOR)
(713) 292-8739
Entity
Organization

Contact information

Practice address
152 OLD SAWMILL ROAD, KINDER, LA 70648
(713) 292-8739
Mailing address
P.O. BOX 1015, LAKE CHARLES, LA 70602
(713) 292-8739

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QR1300X
Rural Health Clinic/Center

Other

Enumeration date
04/22/2013
Last updated
03/29/2014
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