Organization
CHILDREN'S INTERNATIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO HERNANDEZ (CHIEF EXECUTIVE OFFICE)
(985) 646-1580
Entity
Organization
Contact information
Practice address
626 SUPERIOR AVE, BOGALUSA, LA 70427-2631
(985) 730-6671
(985) 730-6671
Mailing address
59101 AMBER ST, SLIDELL, LA 70461-3708
(985) 646-1580
(985) 646-1579
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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