NPI | 1861950982 |
---|---|
Doing Business As | COASTAL FAMILY HEALTH CENTER, INC - LUCEDALE CLINIC |
Entity Type | Organization |
Authorized Contact | ANGELIQUE GREER CEO 228-374-2494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2024-08-16 |