Jefferson Community Health Care Centers, INC

NPI #1447517032 in Marrero, Louisiana

Provider Information

NPI Number
1447517032
Entity Type
Organization
Organization Name
Jefferson Community Health Care Centers, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 19, 2012
Last Updated
Apr 19, 2012

Practice Location

Address
4300 PATRIOT ST
ZIP Code
70072-4305
Phone
(504) 762-8909

Authorized Official

Name
DR. CYROUS ARDALAN, DDS
Title
INTERIM CEO
Phone
(504) 762-8900

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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