| Divine Pathway Community Care Llc | |
|
205 Bear Dr Arabi LA 70032-2103 | |
| (504) 230-2869 | |
| Not Available |
| Full Name | Divine Pathway Community Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 205 Bear Dr, Arabi, Louisiana |
| Authorized Official Name and Position | Roslyn Jones (CEO) |
| Authorized Official Contact | 5042302869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Pathway Community Care Llc 205 Bear Dr Arabi LA 70032-2103 Ph: (504) 230-2869 | Divine Pathway Community Care Llc 205 Bear Dr Arabi LA 70032-2103 Ph: (504) 230-2869 |
| NPI Number | 1477099364 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 03/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477099364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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