| Cw Outreach Center | |
|
4229 Us-79 Homer LA 71040 | |
| (318) 523-4103 | |
| Not Available |
| Full Name | Cw Outreach Center |
|---|---|
| Speciality | Clinic/center |
| Location | 4229 Us-79, Homer, Louisiana |
| Authorized Official Name and Position | Amri Douglas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3185234103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cw Outreach Center Po Box 622 Homer LA 71040-0622 Ph: (318) 523-4103 | Cw Outreach Center 4229 Us-79 Homer LA 71040 Ph: (318) 523-4103 |
| NPI Number | 1215532700 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215532700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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