National Provider Identifier Database

PENN 123 LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

PENN 123 LLC
4933 WABASH ST
METAIRIE, LA70001
Phone: 504-780-2766
Fax: 985-307-0827
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for PENN 123 LLC

NPI Number 1932640521
Legal business name
LBN
PENN 123 LLC
Authorized official HUDI ALTER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/15/2017
Last updated 05/07/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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