Healthcare Provider Details

I. General information

NPI: 1093624926
Provider Name (Legal Business Name): DOROTHY RENEE'S PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 N PRIEUR ST
NEW ORLEANS LA
70116-1744
US

IV. Provider business mailing address

1425 N PRIEUR ST
NEW ORLEANS LA
70116-1744
US

V. Phone/Fax

Practice location:
  • Phone: 310-728-7399
  • Fax:
Mailing address:
  • Phone: 310-728-7399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: TRACY WILLIAMS
Title or Position: MANAGER
Credential:
Phone: 310-728-7399