| Organization Name: | PELICAN HEALTHCARE SYSTEM LLC |
| NPI Number: | 1396189247 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTOR ELOKAN NDANDO-NGOO (ADMINISTRATOR) |
| Mailing Address: | 152 Old Sawmill Road Kinder |
| State: | LA US |
| Postal Code: | 70648 |
| Phone Number: | 7132928739 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2013 |
| NPI Last Update Date: | 03/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |