Organization
ANIOMA LIVING, INC.
Active
Other names
Iberville Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE A OKPALOBI (Q)
(504) 368-9191
Entity
Organization
Contact information
Practice address
3228 IBERVILLE ST, NEW ORLEANS, LA 70119-5424
(504) 821-1140
(504) 368-9192
Mailing address
PO BOX 8130, NEW ORLEANS, LA 70182-8130
(504) 821-1140
(504) 368-9192
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1717932
—
LA
Enumeration date
05/10/2007
Last updated
08/22/2020
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