Provider Demographics
NPI:1669928990
Name:AUDUBON HOME HEALTH OF NEW ORLEANS INC
Entity type:Organization
Organization Name:AUDUBON HOME HEALTH OF NEW ORLEANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:WOODROW
Authorized Official - Last Name:BANKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:225-278-0324
Mailing Address - Street 1:9181 INTERLINE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809
Mailing Address - Country:US
Mailing Address - Phone:225-218-8009
Mailing Address - Fax:
Practice Address - Street 1:110 GREEN STREET
Practice Address - Street 2:SUITE 1A
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301
Practice Address - Country:US
Practice Address - Phone:225-278-0324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health