ST. CHARLES 1539 TENANT, LLC
Skilled Nursing Facility
New Orleans, Louisiana
Provider NPI: 1831193390
Organization Information:Organization Name: ST. CHARLES 1539 TENANT, LLC
Practice Location:
1539 DELACHAISE ST NEW ORLEANS, LA 70115 US
Tel: 504-895-3953 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1539 DELACHAISE ST NEW ORLEANS, LA 70115 US
Tel: 504-895-3953 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | LA | 391 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1518204 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin