# INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER

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

## Provider details

- **NPI number:** 1346453669
- **Authorized official:** MS. PAIGEDENE ANN EAGLIN (CEO)
- **Authorized official phone:** (225) 342-0138

## Contact information

- **Practice address:** 75 DOMINICAN DRIVE, STE. 201, LAPLACE, LA 70068
- **Practice address phone:** (985) 652-1847
- **Practice address fax:** (985) 652-1809
- **Mailing address:** 3525 PRYTANIA ST STE 608, NEW ORLEANS, LA 70115-8106
- **Mailing address phone:** (504) 891-8100
- **Mailing address fax:** (504) 891-8156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | PCA 7065 | LA | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020