Individual
MR. JOSEPH MCCALL IRVIN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2012 KENTUCKY AVE, KENNER, LA 70062-5943
(504) 432-6130
(504) 471-2693
Mailing address
2012 KENTUCKY AVE, KENNER, LA 70062-5943
(504) 432-6130
(504) 471-2693
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/04/2008
Last updated
04/07/2008
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