# PRIORITY GROUP HOLDINGS, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jo Ellen Smith Convalescent Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699147694
- **Authorized official:** MR. DOUGLAS B BOULWARE (MANAGER)
- **Authorized official phone:** (318) 658-9978

## Contact information

- **Practice address:** 4502 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3531
- **Practice address phone:** (504) 361-7923
- **Practice address fax:** (504) 368-4807
- **Mailing address:** 4502 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3531
- **Mailing address phone:** (504) 361-7923
- **Mailing address fax:** (504) 368-4807

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 01/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2203782578 | DHH LICENSE | LA |