Healthcare Provider Details

I. General information

NPI: 1376896944
Provider Name (Legal Business Name): RAINTREE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2012
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 8TH ST
NEW ORLEANS LA
70115-3332
US

IV. Provider business mailing address

1233 8TH ST
NEW ORLEANS LA
70115-3332
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-9045
  • Fax: 504-891-7619
Mailing address:
  • Phone: 504-899-9045
  • Fax: 504-891-7619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number2409
License Number StateLA

VIII. Authorized Official

Name: LASHAWNA SCHOFIELD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 504-899-9045