Organization
THE SPLIT SECOND FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RAYMOND JR. (CEO)
(504) 430-9429
Entity
Organization
Contact information
Practice address
1995 GENTILLY BLVD STE C-18, NEW ORLEANS, LA 70119-1700
(504) 354-2149
Mailing address
2236 ORIOLE ST, NEW ORLEANS, LA 70122-4334
(504) 430-9429
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
07/02/2025
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