MEDICARE: GREAT MOTIVATION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	11474	LA
2	251G00000X	Community Based Hospice Care Agency	11470	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306061718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT MOTIVATION INC.

Provider Business Mailing Address
First Line	:	2108 PAULINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-5518
Country	:	US
Telephone Number	:	504-962-5683
Fax Number	:	504-962-5684

Provider Business Practice Location Address
First Line	:	1661 CANAL ST
Second Line	:	SUITE 3220
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2861
Country	:	US
Telephone Number	:	504-962-5683
Fax Number	:	504-962-5684

Authorized Official
Title or Position	:	DIRECTOR
Name	:	WANDA GARNIER
Credential	:
Telephone Number	:	504-962-5683

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	12/09/2007

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Directions to “GREAT MOTIVATION INC. ” Practice Location

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