Fairway Community Home | |
602 Fairway Dr Thibodaux LA 70301-3726 | |
(337) 233-2731 | |
Not Available |
Full Name | Fairway Community Home |
---|---|
Speciality | Community/behavioral Health |
Location | 602 Fairway Dr, Thibodaux, Louisiana |
Authorized Official Name and Position | Mary A Pank (PARALEGAL) |
Authorized Official Contact | 5023942100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairway Community Home 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (502) 394-2100 | Fairway Community Home 602 Fairway Dr Thibodaux LA 70301-3726 Ph: (337) 233-2731 |
NPI Number | 1376053371 |
---|---|
Provider Enumeration Date | 10/04/2017 |
Last Update Date | 10/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376053371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 4 days ago
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