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 |