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Ambulatory Health Care Facilities Clinic/Center Developmental Disabilities

Provider NPI: 1568972396

Organization Information:
Organization is not Subpart
Authorized Official:  CLAUDETTE  AUBERT  EXECUTIVE DIRECTOR  225-267-7318

Practice Location:
21490B HIGHWAY 20  VACHERIE, LA 70090-3614 US
Tel: 225-267-7318  Fax: --

Business Mailing Address:
21490B HIGHWAY 20  VACHERIE, LA 70090-3614 US
Tel: --  Fax: --

NPI Information:
NPI: 1568972396
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261QD1600XAmbulatory Health Care Facilities
Developmental Disabilities
N261QH0100XAmbulatory Health Care Facilities
N261QM0855XAmbulatory Health Care Facilities
Local Education Agency (LEA)

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 251300000X





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