Organization
SOUTH LOUISIANA WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELLE C CARO (OWNER/OPERATOR)
(985) 790-7552
Entity
Organization
Contact information
Practice address
8 PROFESSIONAL DR, SUITE B, HOUMA, LA 70360-4046
(985) 790-7552
Mailing address
8 PROFESSIONAL DR, SUITE B, HOUMA, LA 70360-4046
(985) 790-7552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3616
LA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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