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Organization

JASTAY ENTERPRISES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA TAYLOR (OWNER)
(318) 556-3378
Entity
Organization

Contact information

Practice address
117 N WASHINGTON ST, BASTROP, LA 71220-3842
(318) 556-3378
Mailing address
117 N WASHINGTON ST, BASTROP, LA 71220

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
17068
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1438260
PERSONAL CARE ATTENDENTS
LA
Enumeration date
06/09/2008
Last updated
06/09/2008
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