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Organization
ELOCIN OF GREATER NEW ORLEANS
Active
Organization
ELOCIN OF GREATER NEW ORLEANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA JACKSON MSW (CHIEF EXECUTIVE OFFICER)
(504) 662-3572
Entity
Organization
Contact information
Practice address
3401 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-6144
(504) 662-3572
Mailing address
1716 HAMPTON DR, HARVEY, LA 70058-5101
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
104100000X
LA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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