Healthcare Provider Details

I. General information

NPI: 1346531472
Provider Name (Legal Business Name): WORLD CHRISTIAN FAITH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2011
Last Update Date: 04/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 LAPEYROUSE ST
NEW ORLEANS LA
70116-1738
US

IV. Provider business mailing address

PO BOX 948
WESTWEGO LA
70096-0948
US

V. Phone/Fax

Practice location:
  • Phone: 504-382-3470
  • Fax: 504-589-2269
Mailing address:
  • Phone: 504-382-3470
  • Fax: 504-589-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. REGINALD COURTNEY GALLEY
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential: DBA; JD; MBA
Phone: 504-382-3470