DIVINE WISDOM ADHC

MARRERO, LA
NPI1164799144
Entity TypeOrganization
Authorized ContactANNIE RICHARDSON
CEO
504-393-8180
Organization Subpart ?No
Primary Taxonomy251C00000X 
(Licence: LA  ADHC 5074)
Enumeration Date2011-11-19
Last Update Date2011-11-19
Business Address
DIVINE WISDOM ADHC
5210 LAPALCO BLVD STE E&F
MARRERO, LA 70072-4269
Phone number: 504-508-1225
Mailing Address
DIVINE WISDOM ADHC
5210 LAPALCO BLVE SUITE E & F
MARRERO, LA 70072
Phone number: 504-508-1225