Organization
NOLA PEDIATRICS
Active
Other names
Nola's Little Miracles
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASEY M SHOOK (DIRECTOR OF NURSING)
(504) 468-8585
Entity
Organization
Contact information
Practice address
2124 DRIFTWOOD BLVD, KENNER, LA 70065-3574
(504) 468-8585
(504) 468-8584
Mailing address
2124 DRIFTWOOD BLVD, KENNER, LA 70065-3574
(504) 468-8585
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2203781882
LA
261QM3000X
Medically Fragile Infants and Children Day Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011183
—
LA
Enumeration date
12/04/2013
Last updated
01/29/2025
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