Lasalle Association For The Developmentally Delayed, Inc

NPI 1033258090 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1033258090
Enumeration Date 02/06/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUDY JUDY
Position ADMINISTRATOR
Phone (318) 992-6217
Fax (318) 992-0467
Practice Location
1258 PEPPER ST
JENA LA, 71342-4432, US
Phone (318) 992-6217
Fax (318) 992-0467
Business Location
1258 PEPPER ST
JENA LA, 71342-4432, US
Phone (318) 992-6217
Fax (318) 992-0467
Toxanomy
Taxonomy Code 302F00000X
License State Louisiana
License Number ADC2324
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According to our database, Lasalle Association For The Developmentally Delayed, Inc NPI is 1033258090, taxonomy code is 302F00000X and license number is ADC2324, license state is located at Louisiana. Lasalle Association For The Developmentally Delayed, Inc physically located at 1258 Pepper St, Jena LA, 71342-4432. NPI Number 1033115704 has the healthcare provider type.

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1033258090 NPI number is provided on an as is basis without warranty of any kind. 1033258090 is maintained by the National Plan & Provider Enumeration System. The contents of Lasalle Association For The Developmentally Delayed, Inc are for informational purposes only.