Organization
SWLA CENTER FOR HEALTH SERVICES
Active
Other names
SWLA Center for Health Services @ Carencro Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRENT III (CEO)
(337) 769-9451
Entity
Organization
Contact information
Practice address
4301 N UNIVERSITY AVE, CARENCRO, LA 70520-3905
(337) 769-9451
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 769-9451
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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