Organization
INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAIGEDENE ANN EAGLIN (CEO)
(225) 342-0138
Entity
Organization
Contact information
Practice address
75 DOMINICAN DRIVE, STE. 201, LAPLACE, LA 70068
(985) 652-1847
(985) 652-1809
Mailing address
3525 PRYTANIA ST STE 608, NEW ORLEANS, LA 70115-8106
(504) 891-8100
(504) 891-8156
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PCA 7065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PCA 7065
—
LA
Enumeration date
05/07/2007
Last updated
08/22/2020
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