| NPI | 1962520213 |
|---|---|
| Other Name | SELAHEC |
| Entity Type | Organization |
| Authorized Contact | BRIAN P JAKES Cheif Executive Officer 985-345-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA CM 1414) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |