Organization
VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Active
Other names
Community Living Services
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BURT (EVP OF ENTERPRISE & ADMINISTRATION)
(504) 486-8674
Entity
Organization
Contact information
Practice address
4174 IBERVILLE ST, NEW ORLEANS, LA 70119-5139
(504) 835-3005
(504) 835-0409
Mailing address
4152 CANAL ST, NEW ORLEANS, LA 70119-5941
(504) 835-3005
(504) 835-0409
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
22037801061
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
2203780145
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
2203780169
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
371
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
372
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
637
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
6388
LA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
709
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1716758
CONSTANCE GROUP HOME
LA
01
—
1716766
IBERVILLE
LA
01
—
1716774
OLYMPIA PROVIDER #
LA
01
—
1716782
PARK PLACE GROUP HOME
LA
01
—
1716791
SLIDELL HEIGHTS GROUP HOM
LA
01
—
1718947
VALLETTE GROUP HOME
LA
01
—
1718955
CHESTNUT
LA
01
—
1719757
CREEKWOOD GROUP HOME
LA
Enumeration date
04/20/2007
Last updated
09/23/2024
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