Elite Medical Wellness Llc | |
2802 Hodges St Lake Charles LA 70601-7368 | |
(337) 419-1873 | |
(337) 656-2848 |
Full Name | Elite Medical Wellness Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2802 Hodges St, Lake Charles, Louisiana |
Authorized Official Name and Position | Patrick Hayes (M.D./OWNER) |
Authorized Official Contact | 3374191873 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Medical Wellness Llc 2802 Hodges St Lake Charles LA 70601-7368 Ph: (337) 419-1873 | Elite Medical Wellness Llc 2802 Hodges St Lake Charles LA 70601-7368 Ph: (337) 419-1873 |
NPI Number | 1346644606 |
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Provider Enumeration Date | 10/15/2014 |
Last Update Date | 11/28/2022 |
Certification Date | 11/28/2022 |
Identifier | Type | State | Issuer |
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1346644606 | NPI | - | NPPES |
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