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CHEZ ELMA

Ambulatory Health Care Facilities Clinic/Center Adult Day Care

Provider NPI: 1063802379

Organization Information:
Organization Name:  CHEZ ELMA
Organization is not Subpart
Authorized Official:  APRIL JESSICA MONTGOMERY-COLE  REGIONAL DIRECTOR  225-265-4366

Practice Location:
2544 HWY 20  VACHERIE, LA 70090 US
Tel: 225-265-4366  Fax: 225-265-2263

Business Mailing Address:
PO BOX 106  VACHERIE, LA 70090-0106 US
Tel: 225-265-4366  Fax: 225-265-2263

NPI Information:
NPI: 1063802379
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA0600XAmbulatory Health Care Facilities
Clinic/Center
Adult Day Care
LA2203782219

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QA0600X

Type:

Classification:



Definition:



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