Provider Demographics
NPI:1215132089
Name:PLAQUEMINES COMMUNITY C.A.R.E. CENTERS FOUNDATION, INC.
Entity type:Organization
Organization Name:PLAQUEMINES COMMUNITY C.A.R.E. CENTERS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:BENOIT
Authorized Official - Last Name:DALFERES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-208-1290
Mailing Address - Street 1:8495 HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-2530
Mailing Address - Country:US
Mailing Address - Phone:504-208-1290
Mailing Address - Fax:
Practice Address - Street 1:8495 HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-2530
Practice Address - Country:US
Practice Address - Phone:504-208-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPPLIED FOR251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable