Provider Demographics
NPI:1851533962
Name:COMCARE SUPPORT CENTER LLC
Entity Type:Organization
Organization Name:COMCARE SUPPORT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BABALOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOPADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-673-8992
Mailing Address - Street 1:3828 VETERANS BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-322-7328
Mailing Address - Fax:888-977-2609
Practice Address - Street 1:3828 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5611
Practice Address - Country:US
Practice Address - Phone:504-322-7328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health