Organization
GREATER NEW ORLEANS SUPPORTS & SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL PERKINS (ACTIVE TREATMENT SPECIALIST 4)
(504) 393-4006
Entity
Organization
Contact information
Practice address
234 F EDWARD HEBERT BLVD, BELL CHASSE, LA 70037
(504) 393-4006
Mailing address
234 F EDWARD HEBERT BLVD, BELL CHASSE, LA 70037
(504) 393-4006
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1561860
—
LA
Enumeration date
09/05/2007
Last updated
07/21/2022
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