Organization
HAMMOND TANGIPAHOA JUNETEENTH
Active
Other names
IRash ADHC Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE L YOUNG (ADMIN)
(985) 510-0129
Entity
Organization
Contact information
Practice address
311 E MICHIGAN ST, HAMMOND, LA 70401-2650
(985) 510-0129
(985) 345-2844
Mailing address
115 W ALABAMA AVE, HAMMOND, LA 70403-3913
(985) 510-0129
(985) 345-2844
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
4127
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119776
—
LA
Enumeration date
08/21/2007
Last updated
08/21/2007
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