NPI 1548507304

Phoenix Raising Veteran Services INC.

Organisation Point of Service Kenner, LA

Practice location

Address: 2000 California Ave, Kenner, LA 70062-5837
Phone: (504) 305-0934
Mailing address: 2000 California Avenue, Kenner, LA 70062

Authorised official

Name: Dwight Savoie
Title: Ceo
Phone: (504) 305-0934

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 2203781259 (LA)

Other Point of Service providers in Louisiana →

Registry record

NPI: 1548507304
Entity type: Organization
NPI issued: 12 Jan 2013
Record last updated: 12 Jan 2013

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.