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Organization

FLEUR DE LIS COMMUNITY HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA NEELY FNP-C (OWNER)
(337) 668-4141
Entity
Organization

Contact information

Practice address
711 SOUTH BROADWAY STREET, CHURCH POINT, LA 70525-4017
(337) 684-0127
(337) 684-0078
Mailing address
711 S BROADWAY, CHURCH POINT, LA 70525-4017
(337) 684-0127
(337) 684-0078

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
12/23/2014
Last updated
12/23/2014
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