# ST. CHARLES 1539 TENANT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Charles Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831193390
- **Authorized official:** MR. ALEX PALEY (COO)
- **Authorized official phone:** (914) 390-4363

## Contact information

- **Practice address:** 1539 DELACHAISE ST, NEW ORLEANS, LA 70115-3513
- **Practice address phone:** (504) 895-3953
- **Practice address fax:** (504) 895-3956
- **Mailing address:** 1539 DELACHAISE ST, NEW ORLEANS, LA 70115-3513
- **Mailing address phone:** (504) 895-3953
- **Mailing address fax:** (504) 895-3956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 391 | LA | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 02/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518204 | — | LA |