Provider Demographics
NPI:1518537125
Name:ABBINGTON FOUNDATION OF LOUISIANA/GERALDINE WARD
Entity Type:Organization
Organization Name:ABBINGTON FOUNDATION OF LOUISIANA/GERALDINE WARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN,
Authorized Official - Phone:504-667-3302
Mailing Address - Street 1:7 PRINCETON PL STE 103B
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4126
Mailing Address - Country:US
Mailing Address - Phone:504-305-9218
Mailing Address - Fax:
Practice Address - Street 1:2002 20TH ST STE B103
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4404
Practice Address - Country:US
Practice Address - Phone:504-667-3302
Practice Address - Fax:504-667-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-26
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center