Organization
ST ANTHONY OUTREACH INC
Active
Other names
ST ANTHONY OUTREACH INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN HARRIS (EXECUTIVE DIRECTOR)
(504) 301-7038
Entity
Organization
Contact information
Practice address
737 PAUL MAILLARD RD, LULING, LA 70070-4343
(504) 301-7038
Mailing address
737 PAUL MAILLARD RD, P O BOX 1213, LULING, LA 70070-4343
(504) 301-7038
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03-05-1506
—
LA
Enumeration date
10/22/2010
Last updated
10/22/2010
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