NPI | 1891831376 |
---|---|
Doing Business As | INCLUSIVCARE |
Entity Type | Organization |
Authorized Contact | SHELLY FOURCADE Credentialing Manager 985-781-8565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-01-30 |
Last Update Date | 2023-10-10 |