Organization
DFAC3 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDRA MARSHALL (CEO)
(504) 209-1906
Entity
Organization
Contact information
Practice address
1500 LAFAYETTE ST STE 123, GRETNA, LA 70053-5732
(504) 688-1019
Mailing address
1500 LAFAYETTE ST STE 123, GRETNA, LA 70053-5732
(504) 688-1019
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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