| NPI | 1437930625 |
|---|---|
| Doing Business As | RESURRECTION OF OUR LORD |
| Entity Type | Organization |
| Authorized Contact | TANYELLE OATIS-GASKEW Lead Credentialing Specialist 504-212-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-11-14 |