Provider Demographics
NPI:1730634049
Name:SOCIETY OF ST. VINCENT DEPAUL, ARCHDIOCESAN COUNSIL OF NEW ORLEANS
Entity type:Organization
Organization Name:SOCIETY OF ST. VINCENT DEPAUL, ARCHDIOCESAN COUNSIL OF NEW ORLEANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYFIELD
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:504-940-5031
Mailing Address - Street 1:1995 GENTILLY BLVD STE C18
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-1700
Mailing Address - Country:US
Mailing Address - Phone:504-940-5031
Mailing Address - Fax:504-940-5440
Practice Address - Street 1:1995 GENTILLY BLVD STE C18
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-1700
Practice Address - Country:US
Practice Address - Phone:504-940-5031
Practice Address - Fax:504-940-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPHY-003950 CH251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable