Organization
EBONYSLACEWIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONY ANDERSON WILLIAMS (CEO)
(504) 621-1265
Entity
Organization
Contact information
Practice address
1790 PRATT DR, NEW ORLEANS, LA 70122-2408
(504) 621-1265
Mailing address
1790 PRATT DR, NEW ORLEANS, LA 70122-2408
(504) 621-1265
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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