Organization
LA RED HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN OLSON (CHIEF EXECUTIVE OFFICER)
(302) 855-2020
Entity
Organization
Contact information
Practice address
300 HIGH ST, SEAFORD, DE 19973-3940
(302) 855-1233
Mailing address
21444 CARMEAN WAY, GEORGETOWN, DE 19947-4572
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497071161
—
DE
Enumeration date
04/20/2010
Last updated
11/15/2013
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