Organization
MQVN COMMUNITY DEVELOPMENT CORPORATION
Active
Parent organization
MQVN COMMUNITY DEVELOPMENT CORPORATION
Other names
NOELA Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MQVN COMMUNITY DEVELOPMENT CORPORATION
Authorized official
JACE CACIOPPO (COMPLIANCE AND CREDENTIALING OFFICE)
(504) 249-5834
Entity
Organization
Contact information
Practice address
13101 CHEF MENTEUR HWY, NEW ORLEANS, LA 70129-1806
(504) 281-4461
(504) 254-6447
Mailing address
13085 CHEF MENTEUR HWY, NEW ORLEANS, LA 70129-1804
(504) 255-8665
(504) 254-6447
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
05/08/2025
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