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Organization
LAKELAND HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Active
Organization
LAKELAND HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE ANN OKPALOBI (ADMINISTRATOR)
(985) 340-0038
Entity
Organization
Contact information
Practice address
1206 J W DAVIS DR, SUITE 109, HAMMOND, LA 70403-5953
(985) 340-0038
(985) 542-3161
Mailing address
3525 PRYTANIA ST, SUITE 609, NEW ORLEANS, LA 70115-3500
(985) 340-0038
(985) 542-3161
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PCA 7025
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026875
—
LA
Enumeration date
11/19/2007
Last updated
06/17/2008
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