Provider Demographics
NPI:1366672495
Name:NURSING SOLUTIONS OF LA
Entity Type:Organization
Organization Name:NURSING SOLUTIONS OF LA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-301-0872
Mailing Address - Street 1:66 CURTIS DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-1661
Mailing Address - Country:US
Mailing Address - Phone:504-301-0872
Mailing Address - Fax:504-754-7520
Practice Address - Street 1:66 CURTIS DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-1661
Practice Address - Country:US
Practice Address - Phone:504-301-0872
Practice Address - Fax:504-754-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA15262Medicaid