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Organization
NELLIE BYERS TRAINING CENTER INC
Active
Organization
NELLIE BYERS TRAINING CENTER INC
Active
Other names
Ouazi Private Entity
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE S DAVIS MBA (PRESIDENT OF THE BOARD)
(985) 735-6555
Entity
Organization
Contact information
Practice address
640 AVENUE V, BOGALUSA, LA 70427
(985) 735-5216
(985) 735-1923
Mailing address
640 AVENUE V, BOGALUSA, LA 70427
(985) 735-5216
(985) 735-1923
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10005
LICENSE NO
—
01
—
1934160
SUPPORTED EMPLOYMENT
—
01
—
1938157
DAY HABILITATION
—
05
—
1938165
—
LA
01
—
450595
SUBMISSION NO
—
Enumeration date
11/29/2007
Last updated
11/29/2007
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