Organization
FAMILY HEALTH OF LOUISIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT MCCLURE (PRACTICE MANAGER)
(225) 665-5149
Entity
Organization
Contact information
Practice address
8369 FLORIDA BLVD, SUITE 8, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770
Mailing address
8369 FLORIDA BLVD, SUITE 8, DENHAM SPRINGS, LA 70726-7862
(225) 665-5149
(225) 667-1770
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941000
—
LA
Enumeration date
06/03/2006
Last updated
06/09/2010
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