Organization
ANIOMA LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE ANN OKPALOBI (CEO)
(504) 368-9191
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD, BLDG 7 SUITE 5B, TERRYTOWN, LA 70056-3950
(504) 368-9191
(504) 368-9192
Mailing address
1799 STUMPF BLVD, BLDG 7 SUITE 5B, TERRYTOWN, LA 70056-3950
(504) 368-9191
(504) 368-9192
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PCA7077
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019097
—
LA
Enumeration date
12/13/2007
Last updated
12/13/2007
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