Organization
LOTUS COMMUNITY CARE, LLC
Active
Other names
Tailored Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA N. OWEN (ADMINISTRATOR/MEMBER)
(504) 782-4657
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD., BUILDING 5, SUITE 1, GRETNA, LA 70056-3950
(504) 368-1512
(504) 368-1513
Mailing address
2370 LARK STREET, NEW ORLEANS, LA 70122-4320
(504) 782-4657
(504) 368-1513
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1802328
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802328
—
LA
Enumeration date
12/09/2009
Last updated
12/09/2009
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