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Organization

FAMILY HEALTH CARE AND WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHERIE K CODY FNP-BC (OWNER/NP)
(985) 543-6800
Entity
Organization

Contact information

Practice address
2511 HIGHWAY 190 E, HAMMOND, LA 70401-8510
(985) 543-6800
(985) 543-6801
Mailing address
2511 HIGHWAY 190 E, HAMMOND, LA 70401-8510
(985) 543-6800
(985) 543-6801

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
AP 04596
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1456241
LA
Enumeration date
02/03/2012
Last updated
03/02/2020
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