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Organization

VIOLA COMMUNITY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VAUGHN GREEN (DIRECTOR)
(504) 237-3097
Entity
Organization

Contact information

Practice address
2316 LITCHWOOD LN, HARVEY, LA 70058-2221
(504) 237-3097
Mailing address
PO BOX 740040, NEW ORLEANS, LA 70174-0040
(504) 237-3097

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
627
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1718840
LA
Enumeration date
04/03/2008
Last updated
04/03/2008
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