Organization
CHILDREN'S HOSPITAL VENTILATOR ASSISTED CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE WORLEY (CHIEF EXECUTIVE OFFICER)
(504) 896-9228
Entity
Organization
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9228
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339512
—
LA
Enumeration date
05/02/2007
Last updated
08/22/2020
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