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General NPI Number Information
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NPI Number | 1164640868
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 4174 IBERVILLE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-5139
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Country | US
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Telephone | 504-835-3005
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Fax | 504-835-0409
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Provider Business Mailing Address
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Address Line | 4152 CANAL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-5941
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Country | US
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Telephone | 504-835-3005
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Fax | 504-835-0409
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Authorized Official
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Title or Position | EVP OF ENTERPRISE & ADMINISTRATION
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Name | JASON BURT
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Credential |
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Telephone | 504-486-8674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 709
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 372
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 2203780169
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 22037801061
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 2203780145
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 6388
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 637
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License Number State | LA
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Taxonomy #8
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 371
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License Number State | LA
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