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Contact Information

INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER
75 DOMINICAN DRIVE, STE. 201
LAPLACE, LA70068
 Phone: 985-652-1847
 Fax: 985-652-1809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER

NPI Number 1346453669
LBN Legal business name INTERLINK HEALTH CARE HOME AND COMMUNITY BASED WAIVER
Authorized official PAIGEDENE EAGLIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA License # PCA 7065
LA Medicaid PCA 7065
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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