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Organization
ARC OF DESOTO
Active
Organization
ARC OF DESOTO
Active
Other names
DeSoto Habilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JACKSON (EXECUTIVE DIRECTOR)
(318) 872-3255
Entity
Organization
Contact information
Practice address
1528 OLD JEFFERSON HWY, MANSFIELD, LA 71052-3427
(318) 872-3255
(318) 872-3233
Mailing address
PO BOX 230, MANSFIELD, LA 71052-0230
(318) 872-3255
(318) 872-3233
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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