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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