# VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Living Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558533554
- **Authorized official:** JASON BURT (EVP OF ENTERPRISE & ADMINISTRATIO)
- **Authorized official phone:** (504) 486-8674

## Contact information

- **Practice address:** 640 MAGNOLIA ST, SLIDELL, LA 70460-1828
- **Practice address phone:** (504) 835-3005
- **Practice address fax:** (504) 835-0409
- **Mailing address:** 4152 CANAL ST, NEW ORLEANS, LA 70119-5941
- **Mailing address phone:** (504) 835-3005
- **Mailing address fax:** (504) 835-0409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 372 | LA | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 09/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1716791 | — | LA |