Organization
KENNISE REED
Active
Other names
JUBILEE RESPITE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
KENNISE REED (DIRECTOR)
(504) 394-7700
Entity
Organization
Contact information
Practice address
4480 GENERAL DEGAULLE DR, STE 114, NEW ORLEANS, LA 70131-6941
(504) 394-7700
Mailing address
4480 GENERAL DEGAULLE DR, STE 114, NEW ORLEANS, LA 70131-6941
(504) 394-7700
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
15410
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407074503
—
LA
Enumeration date
08/29/2008
Last updated
08/29/2008
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