Healthcare Provider Details

I. General information

NPI: 1932723335
Provider Name (Legal Business Name): JUST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 06/01/2020
Certification Date: 06/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 PERDIDO ST
NEW ORLEANS LA
70119
US

IV. Provider business mailing address

118 ARMOUR DR
HOUMA LA
70364-1805
US

V. Phone/Fax

Practice location:
  • Phone: 504-202-9445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HEATHER SCICHILONE
Title or Position: ADMIN
Credential:
Phone: 985-312-4327