| Family First Medical & Wellness Clinic, Llc | |
|
300 Clay St Kenner LA 70062 | |
| (504) 800-8022 | |
| Not Available |
| Full Name | Family First Medical & Wellness Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Clay St, Kenner, Louisiana |
| Authorized Official Name and Position | Darlonda Harris (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5044422685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Medical & Wellness Clinic, Llc 117 River Point Dr Destrehan LA 70047-4008 Ph: (504) 442-2685 | Family First Medical & Wellness Clinic, Llc 300 Clay St Kenner LA 70062 Ph: (504) 800-8022 |
| NPI Number | 1992367791 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 07/01/2019 |
| Medicare PECOS PAC ID | 9436580057 |
|---|---|
| Medicare Enrollment ID | O20200515000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992367791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Darlonda R Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366784159 PECOS PAC ID: 3870880412 Enrollment ID: I20170901000599 |
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