# INTER-COMMUNITY HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Our Lady of Wisdom Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558369777
- **Authorized official:** MR. JOHN R LASTER NHA (ADMINISTRATOR)
- **Authorized official phone:** (504) 394-5991

## Contact information

- **Practice address:** 5600 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70131-7247
- **Practice address phone:** (504) 394-5991
- **Practice address fax:** (504) 304-5421
- **Mailing address:** 5600 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70131-7247
- **Mailing address phone:** (504) 394-5991
- **Mailing address fax:** (504) 304-5421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 741 | LA | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 07/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521132 | — | LA |