MEDICARE: RESOURCES FOR HUMAN DEVELOPMENT

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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1700273687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOURCES FOR HUMAN DEVELOPMENT

Provider Business Mailing Address
First Line	:	2626 UPPERLINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-7139
Country	:	US
Telephone Number	:	610-209-0144
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 UPPERLINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6337
Country	:	US
Telephone Number	:	610-209-0144
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	KATHERINE GODSHALL
Credential	:	LCSW
Telephone Number	:	610-209-0144

Provider Enumeration Date	:	04/18/2015
Last Update Date	:	10/13/2015

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