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Organization

INTERIM HEALTHCARE OF SOUTHEAST LA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ELLIS D PREJEANT (CFO)
(504) 834-9000
Entity
Organization

Contact information

Practice address
2424 EDENBORN AVE, STE 430, METAIRIE, LA 70001-1845
(504) 834-9000
(504) 834-9032
Mailing address
2424 EDENBORN AVE, STE 430, METAIRIE, LA 70001-1845
(504) 834-9000
(504) 834-9032

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
945
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1018325
UNITED HEALTH (METAIRIE)
01
1019740
UNITED HEALTH(MANDEVILLE)
05
1406686
CA
01
25135
COVENTRY HEALTHCARE INC
01
36215
CENTRAL STATE PRO-PHCS
01
41170
HEALTH RISK MANAGEMENT
01
44054
GOVERNMENT EMPLOYEES HOSP
01
59333
PPO PLUS
01
60054
AETNA HEALTH CARE
01
62308
CIGNA HEALTH PLANS
01
72112
S.E. MEDICAL ALLIANCE
01
72125
PEOPLE HEALTH NETWORK
Enumeration date
06/22/2005
Last updated
08/22/2020
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