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Organization
INTERIM HEALTHCARE OF SOUTHEAST LA INC
Active
Organization
INTERIM HEALTHCARE OF SOUTHEAST LA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIS D PREJEANT (CFO)
(504) 834-9000
Entity
Organization
Contact information
Practice address
2424 EDENBORN AVE, STE 430, METAIRIE, LA 70001-1845
(504) 834-9000
(504) 834-9032
Mailing address
2424 EDENBORN AVE, STE 430, METAIRIE, LA 70001-1845
(504) 834-9000
(504) 834-9032
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
945
LA
Other
Enumeration date
06/22/2005
Last updated
08/22/2020
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