Organization
CHILDREN'S INTERNATIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO HERNANDEZ MD (CEO)
(985) 646-1580
Entity
Organization
Contact information
Practice address
906 MCMEANS AVE STE C, BAY MINETTE, AL 36507-3308
(985) 646-1580
Mailing address
59101 AMBER ST STE 1, SLIDELL, LA 70461-3710
(985) 646-1580
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265220
—
AL
Enumeration date
09/21/2021
Last updated
09/21/2021
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