Organization · Type 2 NPI
Northeast Delta Human Services Authority
Primary Care Clinic/Center · Tallulah, LA
NPI number
1417601394
Active
Practice location
1012 Johnson St
Tallulah, LA 71282-5216
Fax (318) 574-2299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1417601394
Northeast Delta Human Services Authority's National Provider Identifier is 1417601394, issued on Feb 9, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tallulah, LA. The record was last updated on Aug 30, 2023.