Organization
SOUTHEAST LOUISIANA AREA HEALTH EDUCATION FOUNDATION, INC.
Active
Organization
SOUTHEAST LOUISIANA AREA HEALTH EDUCATION FOUNDATION, INC.
Active
Other names
SELAHEC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN P JAKES SR. BFA (CHEIF EXECUTIVE OFFICER)
(985) 345-1119
Entity
Organization
Contact information
Practice address
1302 J W DAVIS DR, HAMMOND, LA 70403-5914
(985) 345-1119
Mailing address
1302 J W DAVIS DR, HAMMOND, LA 70403-5914
(985) 345-1119
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
CM 1414
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175790
—
LA
Enumeration date
03/26/2007
Last updated
08/22/2020
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