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Organization

INDEPENDENT LIVING CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOAN B MEUNIER (PRESIDENT)
(504) 841-0591
Entity
Organization

Contact information

Practice address
401 VETERANS MEMORIAL BOULEVAD, SUITE 100, METAIRIE, LA 70005-2957
(504) 841-0591
(504) 841-0595
Mailing address
401 VETERANS MEMORIAL BOULEVAD, SUITE 100, METAIRIE, LA 70005-2957
(504) 841-0591
(504) 841-0595

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1171379
LA
05
1923796
LA
05
19662720
LA
Enumeration date
05/10/2007
Last updated
08/22/2020
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