Organization
ST. THERESA SPECIALTY HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY B. MORRIS CPA (CFO)
(504) 885-3900
Entity
Organization
Contact information
Practice address
4200 HOUMA BLVD, 5TH FLOOR, METAIRIE, LA 70006-2970
(504) 885-3900
(504) 885-3600
Mailing address
3900 VETERANS BLVD., THIRD FLOOR, METAIRIE, LA 70002-5634
(504) 885-3900
(504) 885-3600
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
635
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60209
BCBS LA
LA
Enumeration date
07/21/2005
Last updated
12/03/2009
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