| NPI | 1356655260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIA ROME Office Manager 504-821-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA 489) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-09-02 |