Organization
LA RED HEALTH CENTER, INC.
Active
Other names
Seaford GYN Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN S OLSON (CEO)
(302) 855-1233
Entity
Organization
Contact information
Practice address
105 N FRONT ST STE B, SEAFORD, DE 19973-2707
(302) 855-1233
(302) 855-2025
Mailing address
21444 CARMEAN WAY, GEORGETOWN, DE 19947-4572
(302) 855-1233
(302) 855-2025
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/10/2015
Last updated
04/25/2016
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