Organization
UPWARD HEALTH OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTAL LONG (CREDENTIALING MANAGER)
(888) 985-5455
Entity
Organization
Contact information
Practice address
6221 S CLAIBORNE AVE STE 537, NEW ORLEANS, LA 70125-4142
(888) 985-5455
Mailing address
188 VALLEY ST STE 201, PROVIDENCE, RI 02909-2468
(888) 985-5455
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/23/2019
Last updated
08/20/2021
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