St. Charles 1539 Tenant, LLC

NPI #1831193390 in New Orleans, Louisiana

Provider Information

NPI Number
1831193390
Entity Type
Organization
Organization Name
St. Charles 1539 Tenant, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 10, 2005
Last Updated
Feb 12, 2008

Practice Location

Address
1539 DELACHAISE ST
ZIP Code
70115-3513
Phone
(504) 895-3953

Authorized Official

Name
MR. ALEX PALEY
Title
COO
Phone
(914) 390-4363

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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