Provider Demographics
NPI:1013472646
Name:NEW ORLEANS JOB CORPS CENTER
Entity Type:Organization
Organization Name:NEW ORLEANS JOB CORPS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH AND WELLNESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:IVORY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:504-484-3545
Mailing Address - Street 1:8825 AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3439
Mailing Address - Country:US
Mailing Address - Phone:504-484-3545
Mailing Address - Fax:504-484-3704
Practice Address - Street 1:8825 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3439
Practice Address - Country:US
Practice Address - Phone:504-484-3552
Practice Address - Fax:504-484-3552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health