Healthcare Provider Details

I. General information

NPI: 1649470972
Provider Name (Legal Business Name): THE ARC OF GREATER NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 NASHVILLE AVE
NEW ORLEANS LA
70115-5040
US

IV. Provider business mailing address

925 S LABARRE RD
METAIRIE LA
70001-5921
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-4060
  • Fax:
Mailing address:
  • Phone: 504-837-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: THERESA BALSER
Title or Position: DEPARTMENT DIRECTOR
Credential:
Phone: 504-897-4060