Jefferson Community Health Care Centers INC

NPI #1205470432 in Marrero, Louisiana

Provider Information

NPI Number: 1205470432
Entity Type: Organization
Organization Name: Jefferson Community Health Care Centers INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Oct 31, 2019
Last Updated: Oct 31, 2019

Practice Location

Address: 7201 LAPALCO BLVD
City: Marrero
State: Louisiana
ZIP Code: 70072-4523
Phone: (504) 437-8523

Authorized Official

Name: WANDA ROSE
Title: CFO
Phone: (504) 437-8523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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