Organization
INTER-COMMUNITY HEALTH CARE, INC.
Active
Other names
Our Lady of Wisdom Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R LASTER NHA (ADMINISTRATOR)
(504) 394-5991
Entity
Organization
Contact information
Practice address
5600 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70131-7247
(504) 394-5991
(504) 304-5421
Mailing address
5600 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70131-7247
(504) 394-5991
(504) 304-5421
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
741
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521132
—
LA
Enumeration date
07/12/2005
Last updated
07/13/2011
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