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Organization
INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Active
Organization
INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAIGEDENE ANN EAGLIN (CEO)
(225) 342-0138
Entity
Organization
Contact information
Practice address
75 DOMINICAN DRIVE, STE. 201, LAPLACE, LA 70068
(985) 652-1847
(985) 652-1809
Mailing address
3525 PRYTANIA ST STE 608, NEW ORLEANS, LA 70115-8106
(504) 891-8100
(504) 891-8156
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PCA 7065
LA
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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