Healthcare Provider Details

I. General information

NPI: 1407253883
Provider Name (Legal Business Name): THE RIGHT CHOICE PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 E AIRLINE HWY STE A
LA PLACE LA
70068-5004
US

IV. Provider business mailing address

PO BOX 1676
LA PLACE LA
70069-1676
US

V. Phone/Fax

Practice location:
  • Phone: 985-224-2199
  • Fax: 985-224-2668
Mailing address:
  • Phone: 985-224-2199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DANIS WALKER
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 985-224-2199