Tangi Wellness & Health
Clinic/Center, Rural Health in Hammond, LA. Organization (NPI-2).
NPI number1164073524
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1164073524
- Entity type
- Organization (NPI-2)
- Legal business name
- Tangi Wellness & Health
- Organization subpart
- No
- Enumeration date
- Sep 26, 2019
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Practice location
906 C M Fagan Dr Ste B3Hammond, LA 70403-6056
Phone 985-345-1555 · Fax 985-345-1558
Mailing address
906 C M Fagan Dr Ste B3Hammond, LA 70403-6056
Phone 985-345-1555 · Fax 985-345-1558
Authorized official
Kelly Oller
Practice Administrator
9853451555
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