Organization
E D & J GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYKEN GENEVA JOHNSON (OFFICE MANAGER)
(504) 272-0269
Entity
Organization
Contact information
Practice address
5000 ST. CLAUDE AVE, NEW ORLEANS, LA 70117
(504) 272-0269
(504) 272-0271
Mailing address
P.O. BOX 657, VIOLET, LA 70092
(504) 272-0267
(504) 272-0271
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
SIL20035
LA
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598534
—
LA
Enumeration date
03/15/2007
Last updated
09/23/2008
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