| Resurrection Of Our Lord | |
|
4861 Rosalia Dr New Orleans LA 70127-3562 | |
| (504) 207-3060 | |
| Not Available |
| Full Name | Resurrection Of Our Lord |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4861 Rosalia Dr, New Orleans, Louisiana |
| Authorized Official Name and Position | Tanyelle Oatis-gaskew (LEAD CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5042129546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Of Our Lord Po Box 4148 New Orleans LA 70178-4148 Ph: (504) 212-9558 | Resurrection Of Our Lord 4861 Rosalia Dr New Orleans LA 70127-3562 Ph: (504) 207-3060 |
| NPI Number | 1437930625 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437930625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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