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NPI Code Detail

MEDICARE: DREAMCATCHERS TOTAL CARE, INC.

MEDICARE: DREAMCATCHERS TOTAL CARE, 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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPCA8660LA

Other Identifiers

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

General Provider Information

NPI Number : 1619164696
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAMCATCHERS TOTAL CARE, INC.
Provider Business Mailing Address
First Line : 3520 GENERAL DEGAULLE DR
Second Line : SUITE 3040
City : NEW ORLEANS
State : LA
Zip : 70114-6757
Country : US
Telephone Number : 504-362-9090
Fax Number : 504-362-4410
Provider Business Practice Location Address
First Line : 3520 GENERAL DEGAULLE DR
Second Line : SUITE 3040
City : NEW ORLEANS
State : LA
Zip : 70114-6757
Country : US
Telephone Number : 504-362-9090
Fax Number : 504-362-4410
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : MS. TARASA ANDERSON
Credential : MSW
Telephone Number : 504-362-9090
Provider Enumeration Date : 10/03/2007
Last Update Date : 10/03/2007

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Directions to “DREAMCATCHERS TOTAL CARE, INC. ” Practice Location

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