| Wanda Kaye's Heart | |
|
139b James Comeaux Rd # 563 Lafayette LA 70508-3255 | |
| (337) 704-7094 | |
| Not Available |
| Full Name | Wanda Kaye's Heart |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 139b James Comeaux Rd # 563, Lafayette, Louisiana |
| Authorized Official Name and Position | Dumaka Gouch (ADMINISTRATOR) |
| Authorized Official Contact | 3377047094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Kaye's Heart 139b James Comeaux Rd # 563 Lafayette LA 70508-3255 Ph: (337) 704-7094 | Wanda Kaye's Heart 139b James Comeaux Rd # 563 Lafayette LA 70508-3255 Ph: (337) 704-7094 |
| NPI Number | 1295333649 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295333649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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