Organization
A LITTLE MIRACLE COORDINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA ESCALANTE (OWNER)
(985) 414-1798
Entity
Organization
Contact information
Practice address
294 CHAMPAGNE LN, RACELAND, LA 70394-3503
(985) 414-1798
Mailing address
294 CHAMPAGNE LN, RACELAND, LA 70394-3503
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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