# HAMMOND TANGIPAHOA JUNETEENTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IRash ADHC Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205029535
- **Authorized official:** MRS. GERALDINE L YOUNG (ADMIN)
- **Authorized official phone:** (985) 510-0129

## Contact information

- **Practice address:** 311 E MICHIGAN ST, HAMMOND, LA 70401-2650
- **Practice address phone:** (985) 510-0129
- **Practice address fax:** (985) 345-2844
- **Mailing address:** 115 W ALABAMA AVE, HAMMOND, LA 70403-3913
- **Mailing address phone:** (985) 510-0129
- **Mailing address fax:** (985) 345-2844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 4127 | LA | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 08/21/2007