Organization
DIVINE WISDOM ADHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE RICHARDSON (CEO)
(504) 393-8180
Entity
Organization
Contact information
Practice address
5210 LAPALCO BLVD STE E&F, MARRERO, LA 70072-4269
(504) 508-1225
Mailing address
5210 LAPALCO BLVE SUITE E & F, MARRERO, LA 70072
(504) 508-1225
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADHC 5074
LA
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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