Fleur De Lis Family Healthcare Of Cankton | |
376 Main St Cankton LA 70584-5920 | |
(337) 668-4141 | |
(337) 668-4386 |
Full Name | Fleur De Lis Family Healthcare Of Cankton |
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Speciality | Clinic/Center |
Location | 376 Main St, Cankton, Louisiana |
Authorized Official Name and Position | Michelle Sonnier (OWNER) |
Authorized Official Contact | 3376684141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fleur De Lis Family Healthcare Of Cankton 376 Main St Cankton LA 70584-5920 Ph: (337) 668-4141 | Fleur De Lis Family Healthcare Of Cankton 376 Main St Cankton LA 70584-5920 Ph: (337) 668-4141 |
NPI Number | 1821630880 |
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Provider Enumeration Date | 10/11/2019 |
Last Update Date | 07/23/2021 |
Medicare PECOS PAC ID | 8325370109 |
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Medicare Enrollment ID | O20191028002582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821630880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Fleur De Lis Community Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 376 Main St, Cankton, LA 70584 Phone: 337-668-4141 Fax: 337-668-4386 |