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NPI Code Detail

MEDICARE: FLEUR DE LIS COMMUNITY HEALTH INC

MEDICARE: FLEUR DE LIS COMMUNITY HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/CenterPENDINGLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326032806
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLEUR DE LIS COMMUNITY HEALTH INC
Provider Business Mailing Address
First Line : 376 MAIN ST
Second Line :
City : CANKTON
State : LA
Zip : 70584-5920
Country : US
Telephone Number : 337-668-4141
Fax Number : 337-668-4386
Provider Business Practice Location Address
First Line : 376 MAIN ST
Second Line :
City : CANKTON
State : LA
Zip : 70584-5920
Country : US
Telephone Number : 337-668-4141
Fax Number : 337-668-4386
Authorized Official
Title or Position : SECRETARY TREASURER
Name : ANGELA B NEELY
Credential : RN MSN FNP-C
Telephone Number : 337-668-4141
Provider Enumeration Date : 09/09/2005
Last Update Date : 10/07/2014

Similar Medicare Providers

1639163108 — MRS. ANGELA B NEELY RN MSN FNO-C
Practice Location Address:
376 MAIN ST
CANKTON, LA
70584-5920
Practice Phone: 337-668-4141
Practice Fax: 337-668-4386
1427350446 — MRS. MICHELLE MCNEAL SONNIER FNP
Practice Location Address:
376 MAIN ST
CANKTON, LA
70584-5920
Practice Phone: 337-668-4141
Practice Fax:
1033550686 — MS. MEGAN BAROUSSE FNP
Practice Location Address:
376 MAIN ST
CANKTON, LA
70584-5920
Practice Phone: 337-668-4141
Practice Fax: 337-668-4386
1821630880 — FLEUR DE LIS FAMILY HEALTHCARE OF CANKTON
Practice Location Address:
376 MAIN ST
CANKTON, LA
70584-5920
Practice Phone: 337-668-4141
Practice Fax: 337-668-4386
1972221737 — MONICA ANN STELLY NP
Practice Location Address:
376 MAIN ST
CANKTON, LA
70584-5920
Practice Phone: 337-668-4141
Practice Fax: 337-668-4386
1518951086 — MRS. GEORGETTE BOUDREAUX GUILLORY RN MSN CNS FNP-C
Practice Location Address:
376 MAIN ST
CANKTON, LA
70584
Practice Phone: 337-668-4141
Practice Fax: 337-668-4386

Directions to “FLEUR DE LIS COMMUNITY HEALTH INC ” Practice Location

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