Organization
EASTER SEALS LOUISIANA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY GARNER (PRESIDEN/ CEO)
(504) 523-7325
Entity
Organization
Contact information
Practice address
19405 HELENBERG, SUITE 1, COVINGTON, LA 70433
(985) 892-7604
(985) 892-5735
Mailing address
1010 COMMON STREET, SUITE 2440, NEW ORLEANS, LA 70112-2449
(504) 523-7325
(504) 523-3465
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM0006486
—
LA
Enumeration date
03/28/2007
Last updated
07/17/2015
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