# LASTING IMPRESSION CARE, INC

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

## Provider details

- **NPI number:** 1730377177
- **Authorized official:** MRS. TRU'IESHIA RANEE ANDERSON-MANARD (DIRECTOR)
- **Authorized official phone:** (504) 227-8343

## Contact information

- **Practice address:** 405 GRETNA BLVD, SUITE 103C, GRETNA, LA 70053-4900
- **Practice address phone:** (504) 227-8343
- **Practice address fax:** (504) 227-8540
- **Mailing address:** 405 GRETNA BLVD, SUITE 103C, GRETNA, LA 70053-4900
- **Mailing address phone:** (504) 227-8343
- **Mailing address fax:** (504) 227-8540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | RC 13000 | LA | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 10/11/2007