Provider Demographics
NPI:1427368117
Name:CRESCENT CITY ADULT DAY HEALTH CARE
Entity Type:Organization
Organization Name:CRESCENT CITY ADULT DAY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-707-3758
Mailing Address - Street 1:1017 WILLIAM DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-3992
Mailing Address - Country:US
Mailing Address - Phone:504-367-3580
Mailing Address - Fax:594-367-3579
Practice Address - Street 1:51 HOLMES BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-2591
Practice Address - Country:US
Practice Address - Phone:504-367-3580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care