Organization
JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
Active
Other names
InclusivCare
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY FOURCADE (CREDENTIALING MANAGER)
(985) 781-8565
Entity
Organization
Contact information
Practice address
7001 LAPALCO BLVD, MARRERO, LA 70072
(504) 371-8958
Mailing address
PO BOX 2490, MARRERO, LA 70073-2490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
LA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
10/10/2023
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