Another Chance Enterprise Pca Services

NPI 1083821417 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1083821417
Enumeration Date 05/16/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHRISTOPHER JEROI CHRISTOPHER
Position ADMINISTRATOR
Phone (318) 342-8404
Fax (318) 342-8406
Practice Location
208 COLE AVE
MONROE LA, 71203-3814, US
Phone (318) 342-8404
Fax (318) 342-8406
Business Location
208 COLE AVE
MONROE LA, 71203-3814, US
Phone (318) 342-8404
Fax (318) 342-8406
Toxanomy
Taxonomy Code 320900000X
License State Louisiana
License Number 6953
Remove 1083821417 NPI Number
 

According to our database, Another Chance Enterprise Pca Services NPI is 1083821417, taxonomy code is 320900000X and license number is 6953, license state is located at Louisiana. Another Chance Enterprise Pca Services physically located at 208 Cole Ave, Monroe LA, 71203-3814. NPI Number 1033115704 has the healthcare provider type.

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1083821417 NPI number is provided on an as is basis without warranty of any kind. 1083821417 is maintained by the National Plan & Provider Enumeration System. The contents of Another Chance Enterprise Pca Services are for informational purposes only.