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PENN 123 LLC

Rehabilitation, Substance Use Disorder

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Contact Information

PENN 123 LLC
4933 WABASH ST
METAIRIE, LA  70001-1031
 Phone: 504-603-3060
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

 261QR0405X
 

Community/Behavioral Health

 251S00000X
 

Substance Abuse Disorder Rehabilitation Facility

 324500000X
Indicates primary specialty

NPI Profile & details for PENN 123 LLC

NPI Number 1144915786
LBN Legal business name PENN 123 LLC
Authorized official YEHUDA ALTER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2023
Last updated 04/10/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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