Triumphant Health Care Services And Outreach | |
4747 Earhart Blvd New Orleans LA 70125-1743 | |
(504) 458-7103 | |
Not Available |
Full Name | Triumphant Health Care Services And Outreach |
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Speciality | Clinic/center - Primary Care |
Location | 4747 Earhart Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Letitia Sharp Dumas (OWNER/NURSE PRACTITIONER) |
Authorized Official Contact | 5044587103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Triumphant Health Care Services And Outreach 939 Magnolia Ridge Rd Boutte LA 70039-3230 Ph: (504) 458-7103 | Triumphant Health Care Services And Outreach 4747 Earhart Blvd New Orleans LA 70125-1743 Ph: (504) 458-7103 |
NPI Number | 1548698673 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 10/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548698673 | NPI | - | NPPES |
2173243 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | RN097554AP06693 (Louisiana) | Primary |
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