Jefferson Community Health Care Centers INC

NPI #1124000773 in Avondale, Louisiana

Provider Information

NPI Number: 1124000773
Entity Type: Organization
Organization Name: Jefferson Community Health Care Centers INC
Primary Specialty: General Practice
Enumeration Date: Nov 18, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 4028 HIGHWAY 90 W
City: Avondale
State: Louisiana
ZIP Code: 70094-2622
Phone: (504) 436-2223

Authorized Official

Name: MISS STACEY MARIE LOVELL
Title: BILLING OFFICE/CREDENTIALING
Phone: (504) 436-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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