Healthcare Provider Details

I. General information

NPI: 1265713010
Provider Name (Legal Business Name): OBYKE HEALTH CARE SERIVCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 09/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3028 GENTILLY BLVD
NEW ORLEANS LA
70122-3808
US

IV. Provider business mailing address

3028 GENTILLY BLVD
NEW ORLEANS LA
70122-3808
US

V. Phone/Fax

Practice location:
  • Phone: 504-948-6082
  • Fax: 504-949-6089
Mailing address:
  • Phone: 504-948-6082
  • Fax: 504-949-6089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSE OKPALOBI
Title or Position: OWNER
Credential:
Phone: 504-606-7442