| |
1331 Kerlerec St New Orleans LA 70116-1819 | |
(504) 940-4249 | |
(504) 940-4249 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 1331 Kerlerec St, New Orleans, Louisiana |
Authorized Official Name and Position | Evangeline Franklin (CLINICAL DIRECTOR) |
Authorized Official Contact | 5046582513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1331 Kerlerec St New Orleans LA 70116-1819 Ph: (504) 940-4249 | 1331 Kerlerec St New Orleans LA 70116-1819 Ph: (504) 940-4249 |
NPI Number | 1982823480 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982823480 | NPI | - | NPPES |
1446173 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | 261QP0905X (Louisiana) | Primary |
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