Healthcare Provider Details

I. General information

NPI: 1093954356
Provider Name (Legal Business Name): METROPOLITAN HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 POYDRAS ST SUITE 1800
NEW ORLEANS LA
70130-3245
US

IV. Provider business mailing address

4408 HENICAN PL
METAIRIE LA
70003-1202
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-3130
  • Fax:
Mailing address:
  • Phone: 504-400-0157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number1029
License Number StateLA

VIII. Authorized Official

Name: MRS. ELIZABETH SETON JENKINS
Title or Position: COMMUNITY OUTREACH DIRECTOR
Credential: LPP
Phone: 504-568-3130