PENN 123 LLC

METAIRIE, LA
NPI1144915786
Doing Business AsAVENUES EXTENDED CARE AT METAIRIE
Entity TypeOrganization
Authorized ContactYEHUDA ALTER
CEO
732-307-8000
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Additional Taxonomies251S00000X 
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
PENN 123 LLC
4933 WABASH ST
METAIRIE, LA 70001-1031
Phone number: 504-603-3060
Mailing Address
PENN 123 LLC
211 BOULEVARD OF THE AMERICAS SUITE 503
LAKEWOOD, NJ 08701
Phone number: 732-307-8000