Organization Name: | ACADIA PARISH POLICE JURY COMMUNITY CLINIC |
NPI Number: | 1578684494 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY RAVEY SIGNORELLI (R.N.,DIRECTOR) |
Mailing Address: | 200 Frog Festival Dr Rayne |
State: | LA US |
Postal Code: | 705784733 |
Phone Number: | 3373342153 |
Fax Number: | 3373342192 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0905X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, State or Local |
Taxonomy Definition: |