Organization Name: | CRESCENT CITY ASSOCIATION FOR RETARDED CHILDREN |
NPI Number: | 1104068873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELVET LEON DANGERFIELD (PROGRAM DIRECTOR) |
Mailing Address: | 306 S Clark St New Orleans |
State: | LA US |
Postal Code: | 701196107 |
Phone Number: | 5044826383 |
Fax Number: | 5044826658 |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | PCA 15196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |