Provider Demographics
NPI:1689860538
Name:FOR FEET SAKE,LLC
Entity Type:Organization
Organization Name:FOR FEET SAKE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:V
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:504-822-1155
Mailing Address - Street 1:11143 WINCHESTER PARK DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-2717
Mailing Address - Country:US
Mailing Address - Phone:504-822-1122
Mailing Address - Fax:504-822-1177
Practice Address - Street 1:11143 WINCHESTER PARK DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-2717
Practice Address - Country:US
Practice Address - Phone:504-822-1122
Practice Address - Fax:504-822-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPD322R261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1461962Medicaid
LA1461962Medicaid
LA4F737Medicare PIN