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Organization
WOLDENBERG VILLAGE INC
Active
Organization
WOLDENBERG VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TOWNSEND (EXECUTIVE DIRECTOR)
(504) 367-5640
Entity
Organization
Contact information
Practice address
3701 BERHMAN PLACE, NEW ORLEANS, LA 70114
(504) 367-5640
(504) 367-5643
Mailing address
3701 BEHRMAN PLACE, NEW ORLEANS, LA 70114
(504) 367-5640
(504) 367-5643
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
161
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511561
—
LA
01
—
33632
BLUE CROSS BLUE SHIELD
LA
Enumeration date
09/02/2006
Last updated
08/02/2013
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