Organization
JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
Active
Other names
Inclusivcare
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDRA G WILLIAMS (CEO)
(504) 437-8531
Entity
Organization
Contact information
Practice address
7001 LAPALCO BLVD, MARRERO, LA 70072
(504) 766-7149
(504) 302-1421
Mailing address
PO BOX 2490, MARRERO, LA 70073-2490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208489
—
LA
Enumeration date
05/21/2021
Last updated
06/09/2025
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