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NPI Provider: 1912903964
Contact Name: white c willie
Position: ceo
Phone: (318) 425-2252
David Raines Community Health Centers Information:
David Raines Community Health Centers organization have npi 1912903964, taxonomy code is 251K00000X with license number is 102932 in . This Business address located in 1625 David Raines Rd, Shreveport, LA 71107 Louisiana. Get directions of David Raines Community Health Centers.
Practice Location
Address: 1953 Main St, Haynesville, LA 71038
Phone: (318) 624-1995
Business Location
Address: 1625 David Raines Rd, Shreveport, LA 71107
Phone: (318) 425-2252
Fax: (318) 425-2367
Taxonomy
Taxonomy Code: 251K00000X
License Number: 102932
License Number of State: LA
Primary Taxonomy Switch: Y
Enumeration Date: 6/23/2005
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