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Organization
THE BETTY AND LEONARD PHILLIPS DEAF ACTION CENTER
Active
Organization
THE BETTY AND LEONARD PHILLIPS DEAF ACTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W HYLAN JR. (EXECUTIVE DIRECTOR)
(318) 425-7781
Entity
Organization
Contact information
Practice address
601 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 425-7781
(318) 226-1299
Mailing address
601 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 425-7781
(318) 226-1299
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0011028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011028
—
LA
Enumeration date
01/08/2013
Last updated
01/08/2013
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