Provider Demographics
NPI:1447417787
Name:NEW ORLEANS RESOURCES FOR INDEPENDENT LIVING, INC.
Entity Type:Organization
Organization Name:NEW ORLEANS RESOURCES FOR INDEPENDENT LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAVONKA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARCHAGA
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:504-522-1955
Mailing Address - Street 1:2001 21ST ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-5862
Mailing Address - Country:US
Mailing Address - Phone:504-522-1955
Mailing Address - Fax:504-522-1954
Practice Address - Street 1:2001 21ST ST
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-5862
Practice Address - Country:US
Practice Address - Phone:504-522-1955
Practice Address - Fax:504-522-1954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA21522261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center