Organization
THE GUILD AT RAPHAEL VILLAGE LLC
Active
Organization
THE GUILD AT RAPHAEL VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE CASE (EXECUTIVE DIRECTOR)
(504) 482-0058
Entity
Organization
Contact information
Practice address
3401 CANAL ST, NEW ORLEANS, LA 70119-6207
(504) 482-0058
(504) 482-0059
Mailing address
517 SORAPARU ST APT 104, NEW ORLEANS, LA 70130-2001
(504) 628-6876
(504) 482-0059
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2203783583
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184154858
—
LA
Enumeration date
01/03/2018
Last updated
06/16/2018
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