Provider Demographics
NPI:1285005397
Name:KARE
Entity Type:Organization
Organization Name:KARE
Other - Org Name:KARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:504-858-0366
Mailing Address - Street 1:2896 GLENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7910
Mailing Address - Country:US
Mailing Address - Phone:504-858-0366
Mailing Address - Fax:
Practice Address - Street 1:2896 GLENBROOK DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7910
Practice Address - Country:US
Practice Address - Phone:504-858-0366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health