NPI 1174076061

Innovative Start LLC

Organisation Health Maintenance Organization Gretna, LA

Practice location

Address: 1101 Franklin Ave, Gretna, LA 70053-2312
Phone: (504) 729-0408
Fax: (504) 361-5973

Authorised official

Name: Doris Green
Title: Owner
Phone: (504) 729-0408

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1174076061
Entity type: Organization
NPI issued: 27 Jul 2016
Record last updated: 27 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.