| The Guild At Raphael Village Llc | |
|
530 Jackson Ave New Orleans LA 70130-4812 | |
| (504) 524-5955 | |
| (504) 482-0059 |
| Full Name | The Guild At Raphael Village Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 530 Jackson Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Jacqueline Case (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5045245955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Guild At Raphael Village Llc 517 Soraparu St Apt 104 New Orleans LA 70130-2001 Ph: (504) 628-6876 | The Guild At Raphael Village Llc 530 Jackson Ave New Orleans LA 70130-4812 Ph: (504) 524-5955 |
| NPI Number | 1689496614 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689496614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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