| Bayou Health Services, Llc | |
|
1615 Poydras St New Orleans LA 70112-1254 | |
| (504) 919-0039 | |
| Not Available |
| Full Name | Bayou Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1615 Poydras St, New Orleans, Louisiana |
| Authorized Official Name and Position | David Gaines (OWNER/CEO) |
| Authorized Official Contact | 5049190039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Health Services, Llc 1615 Poydras St New Orleans LA 70112-1254 Ph: (504) 919-0039 | Bayou Health Services, Llc 1615 Poydras St New Orleans LA 70112-1254 Ph: (504) 919-0039 |
| NPI Number | 1366814469 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 10/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366814469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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