Organization
REJUVENATING CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELISA TATE (DIRECTOR)
(504) 942-7171
Entity
Organization
Contact information
Practice address
3920 OLD GENTILLY RD, NEW ORLEANS, LA 70126-4859
(504) 942-7171
(504) 942-7174
Mailing address
3920 OLD GENTILLY RD, NEW ORLEANS, LA 70126-4859
(504) 942-7171
(504) 942-7174
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8905
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172618
—
LA
Enumeration date
04/18/2007
Last updated
08/22/2020
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