Provider Demographics
NPI:1245813468
Name:RONALD MCDONALD HOUSE CHARITIES OF SOUTH LOUISIANA, INC
Entity type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF SOUTH LOUISIANA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF SUPPORT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DEN AKKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-486-6668
Mailing Address - Street 1:4403 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5946
Mailing Address - Country:US
Mailing Address - Phone:504-486-6668
Mailing Address - Fax:504-482-1666
Practice Address - Street 1:4403 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5946
Practice Address - Country:US
Practice Address - Phone:504-486-6668
Practice Address - Fax:504-482-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging