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Organization
PORT CITY ENTERPRISES, INC.
Active
Organization
PORT CITY ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE C DUNLEVY BSW (EXECUTIVE DIRECTOR)
(225) 344-1142
Entity
Organization
Contact information
Practice address
836 N. SEVENTH ST, PORT ALLEN, LA 70767
(225) 344-1142
(225) 344-1192
Mailing address
836 N. SEVENTH ST, PORT ALLEN, LA 70767
(225) 344-1142
(225) 344-1192
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
2263
LA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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