- Enrollment id
- O20110531000014
- Enrollment state
- LA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1003134156
- Multiple npi flag
- N
- Ccn
- 191676
- Associate id
- 8224215207
- Organization name
- GULF SOUTH HOSPICE OF NEW ORLEANS
- Incorporation date
- 2010-05-13
- Incorporation state
- LA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 812 HESPER AVE
- City
- METAIRIE
- State
- LA
- Zip code
- 700052042