Organization
GO CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDA WHEAT HARBOR RN (CASE MANAGER)
(318) 372-8527
Entity
Organization
Contact information
Practice address
2214 BEECHWOOD DR, MONROE, LA 71201-4504
(318) 372-8527
Mailing address
2214 BEECHWOOD DR, MONROE, LA 71201-4504
(318) 372-8527
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
81850
LA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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