Organization
UNITED CEREBRAL PALSY OF G.N.O.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO BUGG (EXECUTIVE DIRECTOR)
(504) 461-4266
Entity
Organization
Contact information
Practice address
2200 VETERANS MEMORIAL BLVD, STE 103, KENNER, LA 70062-4001
(504) 461-4266
(504) 461-9976
Mailing address
2200 VETERANS MEMORIAL BLVD, STE 103, KENNER, LA 70062-4001
(504) 461-4266
(504) 461-9976
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC 8034
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950084
—
LA
Enumeration date
04/06/2009
Last updated
04/06/2009
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