NPI 1902348873

Essential Rose, LLC

Organisation Exclusive Provider Organization New Orleans, LA

Practice location

Address: 701 Loyola Ave Unit 57464, New Orleans, LA 70157-5001
Phone: (504) 220-8480
Mailing address: 701 Loyola Avenue Unit 57464, New Orleans, LA 70157

Authorised official

Name: Shayla Marie de La Rose
Title: President/Ceo
Phone: (504) 220-8480

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4860 (LA)

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Registry record

NPI: 1902348873
Entity type: Organization
NPI issued: 9 Nov 2016
Record last updated: 9 Nov 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.