MEDICARE: ST. MARGARET'S DAUGHTERS 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		LA

General Provider Information

NPI Number	:	1548469950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. MARGARET'S DAUGHTERS INC

Provider Business Mailing Address
First Line	:	919 AMELIA ST
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70053-5527
Country	:	US
Telephone Number	:	504-279-6414
Fax Number	:	504-277-1834

Provider Business Practice Location Address
First Line	:	3419 SAINT CLAUDE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-6144
Country	:	US
Telephone Number	:	504-279-6414
Fax Number	:	504-277-1834

Authorized Official
Title or Position	:	CEO
Name	:	MR. LARRY STANSBERRY
Credential	:
Telephone Number	:	504-279-6414

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	07/16/2007

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