Organization
RAYMOND F. SCHNEIDER MEMORIAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SCHNEIDER (OWNER)
(337) 229-7929
Entity
Organization
Contact information
Practice address
1302 ED BROUSSARD ROAD, NEW IBERIA, LA 70563
(337) 229-7929
Mailing address
PO BOX 408, 1302 ED BROUSSARD ROAD, LOREAUVILLE, LA 70552
(337) 229-7929
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
129
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037591
—
LA
Enumeration date
05/08/2008
Last updated
08/18/2008
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