Body & Soul Services Inc

NPI 1003075870 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1003075870
Enumeration Date 06/05/2008
Last Updated 06/05/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DERENDA DERENDA
Position VICE-PRESIDENT
Phone (318) 283-3299
Fax (318) 283-3298
Practice Location
803 BRISCO AVE
BASTROP LA, 71220-5161, US
Phone (318) 283-3299
Fax (318) 283-3298
Business Location
803 BRISCO AVE
BASTROP LA, 71220-5161, US
Phone (318) 283-3299
Fax (318) 283-3298
Toxanomy
Taxonomy Code 251C00000X
License State Louisiana
License Number PCA 7233
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According to our database, Body & Soul Services Inc NPI is 1003075870, taxonomy code is 251C00000X and license number is PCA 7233, license state is located at Louisiana. Body & Soul Services Inc physically located at 803 Brisco Ave, Bastrop LA, 71220-5161. NPI Number 1033115704 has the healthcare provider type.

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1003075870 NPI number is provided on an as is basis without warranty of any kind. 1003075870 is maintained by the National Plan & Provider Enumeration System. The contents of Body & Soul Services Inc are for informational purposes only.