Provider Demographics
NPI:1003207036
Name:GILDS ENTERPRISES LLC
Entity Type:Organization
Organization Name:GILDS ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL-GILDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,JD
Authorized Official - Phone:504-222-9721
Mailing Address - Street 1:300 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6416
Mailing Address - Country:US
Mailing Address - Phone:504-222-9721
Mailing Address - Fax:
Practice Address - Street 1:300 S BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6416
Practice Address - Country:US
Practice Address - Phone:504-222-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA360090382332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals