Provider Demographics
NPI:1790117372
Name:NOLA INTEGRATED HEALTHCARE, LLC
Entity Type:Organization
Organization Name:NOLA INTEGRATED HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:504-723-8399
Mailing Address - Street 1:PO BOX 2272
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-2272
Mailing Address - Country:US
Mailing Address - Phone:504-288-3888
Mailing Address - Fax:
Practice Address - Street 1:101 ROBERT E LEE BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2560
Practice Address - Country:US
Practice Address - Phone:504-288-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1572111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty