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Organization

EAST LOUISIANA STATE HOSPITAL

Active
Other names
Eastern LA Mental Health System
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MALISSA C. COLEMAN B.S. (ACCOUNTANT MANAGER 3)
(225) 634-0533
Entity
Organization

Contact information

Practice address
4502 HIGHWAY 951, JACKSON, LA 70748-0498
(225) 634-0533
(225) 634-5827
Mailing address
P.O. BOX 498, 4502 HIGHWAY 951, JACKSON, LA 70748-0498
(225) 634-0533
(225) 634-5827

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
201
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710016
LA
Enumeration date
09/21/2005
Last updated
02/07/2011
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