Healthcare Provider Details

I. General information

NPI: 1952718389
Provider Name (Legal Business Name): DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5630 READ BLVD
NEW ORLEANS LA
70127-3106
US

IV. Provider business mailing address

PO BOX 4148
NEW ORLEANS LA
70178-4148
US

V. Phone/Fax

Practice location:
  • Phone: 504-248-5357
  • Fax: 504-248-5377
Mailing address:
  • Phone: 504-207-3059
  • Fax: 504-212-9539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GRIFFIN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 504-212-9502