Organization
BROOKHAVEN FAMILY SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA CARTER (ADMINISTRATOR)
(504) 362-6944
Entity
Organization
Contact information
Practice address
3501 HOLIDAY DR, SUITE 308, NEW ORLEANS, LA 70114-8202
(504) 362-6944
Mailing address
PO BOX 3133, HARVEY, LA 70059-3133
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
10316
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471569
—
LA
Enumeration date
05/31/2007
Last updated
09/04/2007
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