Provider Demographics
NPI:1447427596
Name:STRIVE INCORPORATED
Entity Type:Organization
Organization Name:STRIVE INCORPORATED
Other - Org Name:MILLER MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SR MARY
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:GIRSHEFSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-895-2557
Mailing Address - Street 1:1139 NAPOLEON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2820
Mailing Address - Country:US
Mailing Address - Phone:504-895-2557
Mailing Address - Fax:504-899-9985
Practice Address - Street 1:1139 NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2820
Practice Address - Country:US
Practice Address - Phone:504-895-2557
Practice Address - Fax:504-899-9985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1928909Medicaid