Organization
RURAL HEALTH CARE DEVELOPMENT CORPORATION LLC
Active
Other names
Associate Family medical center of Bogalusa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE BENANDI (PRESIDENT)
(985) 768-1995
Entity
Organization
Contact information
Practice address
4700 WICHERS DR STE 206, MARRERO, LA 70072-3054
(985) 768-1995
(504) 340-4636
Mailing address
4700 WICHERS DR STE 206, MARRERO, LA 70072-3054
(985) 768-1995
(504) 340-4636
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
12/29/2011
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