Organization
GULF COAST OUTPATIENT CENTERS LLC
Active
Other names
GULF COAST AFTER HOURS MANDEVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH LEBLANC (CEO)
(504) 831-3112
Entity
Organization
Contact information
Practice address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 624-2845
(985) 624-2948
Mailing address
3510 N CAUSEWAY BLVD, STE 300, METAIRIE, LA 70002-3531
(504) 831-3112
(504) 831-3778
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
06/23/2008
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