| Fleur De Lis Community Health Inc | |
|
376 Main St Cankton LA 70584-5920 | |
| (337) 668-4141 | |
| (337) 668-4386 |
| Full Name | Fleur De Lis Community Health Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 376 Main St, Cankton, Louisiana |
| Authorized Official Name and Position | Angela B Neely (SECRETARY TREASURER) |
| Authorized Official Contact | 3376684141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleur De Lis Community Health Inc 376 Main St Cankton LA 70584-5920 Ph: (337) 668-4141 | Fleur De Lis Community Health Inc 376 Main St Cankton LA 70584-5920 Ph: (337) 668-4141 |
| NPI Number | 1326032806 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326032806 | NPI | - | NPPES |
| 1447919 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | PENDING (Louisiana) | Primary |
Fleur De Lis Family Healthcare Of Cankton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 376 Main St, Cankton, LA 70584 Phone: 337-668-4141 Fax: 337-668-4386 |