Provider Demographics
NPI:1528231487
Name:LOUISIANA HEALTHCARE INITIATIVE, LLC
Entity Type:Organization
Organization Name:LOUISIANA HEALTHCARE INITIATIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,APRN,ACNP,BC
Authorized Official - Phone:504-723-3264
Mailing Address - Street 1:PO BOX 741003
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70174-1003
Mailing Address - Country:US
Mailing Address - Phone:504-723-3264
Mailing Address - Fax:504-398-7023
Practice Address - Street 1:2628 ETON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-3840
Practice Address - Country:US
Practice Address - Phone:504-723-3264
Practice Address - Fax:504-398-7023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care