Organization
COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KAVANAUGH (CHIEF EXECUTIVE OFFICER)
(504) 899-2500
Entity
Organization
Contact information
Practice address
1421 GENERAL TAYLOR ST, NEW ORLEANS, LA 70115-3717
(504) 899-2500
Mailing address
1421 GENERAL TAYLOR ST, NEW ORLEANS, LA 70115-3717
(504) 899-2500
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
365
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1709204
—
LA
Enumeration date
11/30/2005
Last updated
12/15/2017
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