Organization
NEW LIFE CARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN-CLIFFORD AGBASI OBIH PH.D. (EXECUTIVE DIRECTOR)
(504) 885-8767
Entity
Organization
Contact information
Practice address
5416 VETERANS MEMORIAL BLVD STE 303, METAIRIE, LA 70003-1747
(504) 885-8767
(504) 885-9757
Mailing address
5416 VETERANS MEMORIAL BLVD STE 303, METAIRIE, LA 70003-1747
(504) 885-8767
(504) 885-9757
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PCA 12124
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363103
—
LA
Enumeration date
07/26/2006
Last updated
05/19/2008
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