Organization
PRIMARY HEALTHCARE OF SOUTHEAST LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THANE BATTISTE PAINIA (MANAGER)
(225) 620-1561
Entity
Organization
Contact information
Practice address
57935 MCDANIEL ST, PLAQUEMINE, LA 70764-2039
(225) 620-1561
(225) 687-9904
Mailing address
57935 MCDANIEL ST, PLAQUEMINE, LA 70764-2039
(225) 620-1561
(225) 687-9904
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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