# MQVN COMMUNITY DEVELOPMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MQVN COMMUNITY DEVELOPMENT CORPORATION
- **Other names:** NOELA Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699320382
- **Legal business name:** MQVN COMMUNITY DEVELOPMENT CORPORATION
- **Authorized official:** JACE CACIOPPO (COMPLIANCE AND CREDENTIALING OFFICE)
- **Authorized official phone:** (504) 249-5834

## Contact information

- **Practice address:** 13101 CHEF MENTEUR HWY, NEW ORLEANS, LA 70129-1806
- **Practice address phone:** (504) 281-4461
- **Practice address fax:** (504) 254-6447
- **Mailing address:** 13085 CHEF MENTEUR HWY, NEW ORLEANS, LA 70129-1804
- **Mailing address phone:** (504) 255-8665
- **Mailing address fax:** (504) 254-6447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 05/08/2025