Organization
LIFE COAST COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WEBRE (CLINIC MANAGER)
(985) 492-6170
Entity
Organization
Contact information
Practice address
605 ENTERPRISE DR STE D, HOUMA, LA 70360-5405
(985) 360-3755
(985) 879-4580
Mailing address
1101 AUDUBON AVE STE S1, THIBODAUX, LA 70301-4957
(985) 492-6170
(985) 492-6177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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