Organization
VIRAGE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEISHA JACKSON (OWNER)
(469) 337-7025
Entity
Organization
Contact information
Practice address
6221 S CLAIBORNE AVE, 303, NEW ORLEANS, LA 70125-4142
(504) 298-8675
Mailing address
6221 S CLAIBORNE AVE, 303, NEW ORLEANS, LA 70125-4142
(504) 298-8675
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
40166180K
LA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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