Healthcare Provider Details
I. General information
NPI: 1023278009
Provider Name (Legal Business Name): HM SOCIAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2128 LASALLE ST
NEW ORLEANS LA
70113
US
IV. Provider business mailing address
1129 SAINT FERDINAND ST
NEW ORLEANS LA
70117-7232
US
V. Phone/Fax
- Phone: 505-218-7907
- Fax:
- Phone: 504-218-7907
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | SIL20050 |
| License Number State | LA |
VIII. Authorized Official
Name: MS.
FELECIA
L
BOWERS
Title or Position: DIRECTOR
Credential: MSW
Phone: 504-218-7907