# WOLDENBERG VILLAGE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023110897
- **Authorized official:** JOSEPH TOWNSEND (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (504) 367-5640

## Contact information

- **Practice address:** 3701 BERHMAN PLACE, NEW ORLEANS, LA 70114
- **Practice address phone:** (504) 367-5640
- **Practice address fax:** (504) 367-5643
- **Mailing address:** 3701 BEHRMAN PLACE, NEW ORLEANS, LA 70114
- **Mailing address phone:** (504) 367-5640
- **Mailing address fax:** (504) 367-5643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 161 | LA | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 08/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1511561 | — | LA |
| 01 | — | 33632 | BLUE CROSS BLUE SHIELD | LA |