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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