Healthcare Provider Details
I. General information
NPI: 1316464308
Provider Name (Legal Business Name): DCS FAMILY HEALTH AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19100 DR JOHN LAMBERT DR
HAMMOND LA
70403-0922
US
IV. Provider business mailing address
19100 DR JOHN LAMBERT DR
HAMMOND LA
70403-0922
US
V. Phone/Fax
- Phone: 985-247-4567
- Fax: 985-467-0896
- Phone: 985-247-4567
- Fax: 985-467-0896
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
LEE
FINLEY
JR.
Title or Position: PRESIDENT
Credential:
Phone: 985-687-1567