Organization
POYDRAS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. RIVE', JR. MBA, NFA (CHIEF EXECUTIVE OFFICER)
(504) 897-0535
Entity
Organization
Contact information
Practice address
5354 MAGAZINE STREET, NEW ORLEANS, LA 70115
(504) 897-0535
(504) 897-9494
Mailing address
5354 MAGAZINE STREET, NEW ORLEANS, LA 70115
(504) 897-0535
(504) 897-9494
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
314000000X
Skilled Nursing Facility
Primary
142
LA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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