MEDICARE: DHH/OPH

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	251K00000X	Public Health or Welfare Agency	0003305	LA

General Provider Information

NPI Number	:	1528320421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DHH/OPH

Provider Business Mailing Address
First Line	:	685 LOUISIANA AVE
Second Line	:
City	:	PORT ALLEN
State	:	LA
Zip	:	70767-2144
Country	:	US
Telephone Number	:	225-342-7527
Fax Number	:	225-383-3552

Provider Business Practice Location Address
First Line	:	685 LOUISIANA AVE
Second Line	:
City	:	PORT ALLEN
State	:	LA
Zip	:	70767-2144
Country	:	US
Telephone Number	:	225-342-7527
Fax Number	:	225-383-3552

Authorized Official
Title or Position	:	NURSING SUPERVISOR
Name	:	MS. DEBORAH A TREUIL
Credential	:	RN
Telephone Number	:	225-342-7527

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	06/15/2012

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Directions to “DHH/OPH ” Practice Location

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