# FIELDS DE LA NARURLAE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063624625
- **Authorized official:** MRS. JEANETTE LITTLE MYLES S.W. (QMRP)
- **Authorized official phone:** (318) 322-1910

## Contact information

- **Practice address:** 2828 GAY DR, MONROE, LA 71202-6765
- **Practice address phone:** (318) 322-1910
- **Practice address fax:** (318) 322-1910
- **Mailing address:** 3660 HADLEY ST, MONROE, LA 71202-4556
- **Mailing address phone:** (318) 322-1910
- **Mailing address fax:** (318) 322-1910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 192 | LA | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020