NPI 1043663040

Elocin of Greater New Orleans

Organisation Preferred Provider Organization New Orleans, LA

Practice location

Address: 3401 Saint Claude Ave, New Orleans, LA 70117-6144
Phone: (504) 662-3572
Mailing address: 1716 Hampton Dr, Harvey, LA 70058-5101

Authorised official

Name: Tamara Jackson
Title: Chief Executive Officer
Phone: (504) 662-3572

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 104100000X (LA)

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Registry record

NPI: 1043663040
Entity type: Organization
NPI issued: 14 Jul 2016
Record last updated: 14 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.