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Organization
ST TAMMANY ASSOC. FOR RETARDED CITIZENS
Active
Organization
ST TAMMANY ASSOC. FOR RETARDED CITIZENS
Active
Other names
STARC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE BAHAM (EXECUTIVE DIRECTOR)
(985) 646-0219
Entity
Organization
Contact information
Practice address
1541 SAINT ANN PL, SLIDELL, LA 70460-2315
(985) 646-0219
Mailing address
1541 SAINT ANN PL, SLIDELL, LA 70460-2315
(985) 646-0219
(985) 641-8947
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
3418
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1913235
—
LA
Enumeration date
04/10/2007
Last updated
08/22/2020
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