1 Priority Independent Living Skills Building
Organization Active NPI Community/Behavioral Health Agency · Chalmette, LA
NPI 1275987307 · NPPES record last updated Apr 14, 2016
Key facts
- NPI
- 1275987307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1548408958 (LA)
- Legal business name
- 1 PRIORITY INDEPENDENT LIVING SKILLS BUILDING
- Practice address
- 321 W Judge Perez Dr
Suite B
Chalmette, LA 70043-4903 - Phone
- (504) 208-9636
- NPI assigned
- Apr 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Revia Jackosn, MSW
- Title
- Administrator
- Phone
- (504) 208-9636
National Provider Directory
Locations
321 W Judge Perez Dr
Ste B
Chalmette, LA 70043
Phone (504) 208-9636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1548408958 | LA | Yes |
| Community/Behavioral Health Agency | 251S00000X | 1364878 | LA |
Addresses
Primary practice location
321 W Judge Perez Dr
Suite B
Chalmette, LA 70043-4903
Mailing address
321 W Judge Perez Dr
Suite B
Chalmette, LA 70043-4903
Phone (504) 208-9636
Other providers in Chalmette, LA
- 1 Priority Personal Care Service
- 1 Priority Personal Care Service
- 1 Priority Personal Care Service
- 1 Priority Personal Care Service, LLC
- Abdolreza Vadiee, Inc.
All providers in Chalmette, LA · Community/Behavioral Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.