NPI 1962520213

Southeast Louisiana Area Health Education Foundation, INC.

Organisation Exclusive Provider Organization Hammond, LA

Practice location

Address: 1302 J W Davis Dr, Hammond, LA 70403-5914
Phone: (985) 345-1119

Authorised official

Name: Brian P Jakes
Title: Cheif Executive Officer
Phone: (985) 345-1119

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence CM 1414 (LA)

Other Exclusive Provider Organization providers in Louisiana →

Registry record

NPI: 1962520213
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.