Organization
GREATER NEW ORLEANS SUPPORTS AND SERVICES CENTER-SIL
Active
Other names
GNOSSC-SIL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL T PERKINS (WAIVER SERVICES DIRECTOR)
(504) 364-6640
Entity
Organization
Contact information
Practice address
4460 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 364-6640
Mailing address
4460 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 364-6640
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SIL 6724
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1709921
—
LA
Enumeration date
04/04/2007
Last updated
07/21/2008
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