| Your Family Care Center Llc | |
|
2412 Palmland Blvd New Iberia LA 70563-2913 | |
| (337) 519-4740 | |
| Not Available |
| Full Name | Your Family Care Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2412 Palmland Blvd, New Iberia, Louisiana |
| Authorized Official Name and Position | Edison L Ong (OWNER) |
| Authorized Official Contact | 3372765408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Care Center Llc 303 Bayside Rd Jeanerette LA 70544-5801 Ph: (337) 276-5408 | Your Family Care Center Llc 2412 Palmland Blvd New Iberia LA 70563-2913 Ph: (337) 519-4740 |
| NPI Number | 1063649143 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063649143 | NPI | - | NPPES |
| 1530301 | Medicaid | LA | |
| 12332R | Other | LA | MEDICAL LICENSE |
| 1598794406 | Other | LA | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 12332R (Louisiana) | Primary |
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