1 Priority Independent Living Skills Building | |
321 W Judge Perez Dr Suite B Chalmette LA 70043-4903 | |
(504) 208-9636 | |
Not Available |
Full Name | 1 Priority Independent Living Skills Building |
---|---|
Speciality | Community/behavioral Health |
Location | 321 W Judge Perez Dr, Chalmette, Louisiana |
Authorized Official Name and Position | Revia Jackosn (ADMINISTRATOR) |
Authorized Official Contact | 5042089636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1 Priority Independent Living Skills Building 321 W Judge Perez Dr Suite B Chalmette LA 70043-4903 Ph: (504) 208-9636 | 1 Priority Independent Living Skills Building 321 W Judge Perez Dr Suite B Chalmette LA 70043-4903 Ph: (504) 208-9636 |
NPI Number | 1275987307 |
---|---|
Provider Enumeration Date | 04/14/2016 |
Last Update Date | 04/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275987307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1548408958 (Louisiana) | Primary |
251S00000X | Community/behavioral Health | 1364878 (Louisiana) | Secondary |
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