Lasting Impression Care Inc

NPI 1043408651 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1043408651
Enumeration Date 10/09/2007
Last Updated 10/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TRU'IESHIA RANEE TRU'IESHIA
Position DIRECTOR
Phone (507) 227-8343
Fax (504) 227-8540
Practice Location
405 GRETNA BLVD
SUITE 103C
GRETNA LA, 70053-4900, US
Phone (507) 227-8343
Fax (504) 227-8540
Business Location
405 GRETNA BLVD
SUITE 103C
GRETNA LA, 70053-4900, US
Phone (504) 227-8343
Fax (504) 227-8540
Toxanomy
Taxonomy Code 320900000X
License State Louisiana
License Number PCA 14002
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According to our database, Lasting Impression Care Inc NPI is 1043408651, taxonomy code is 320900000X and license number is PCA 14002, license state is located at Louisiana. Lasting Impression Care Inc physically located at 405 Gretna Blvd, Gretna LA, 70053-4900. NPI Number 1033115704 has the healthcare provider type.

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1043408651 NPI number is provided on an as is basis without warranty of any kind. 1043408651 is maintained by the National Plan & Provider Enumeration System. The contents of Lasting Impression Care Inc are for informational purposes only.