| NPI | 1669657037 |
|---|---|
| Doing Business As | GULF COAST AFTER HOURS MANDEVILLE |
| Entity Type | Organization |
| Authorized Contact | KEITH LEBLANC CEO 504-831-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-06-23 |