Organization
THE BETTY AND LEONARD PHILLIPS DEAF ACTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W HYLAN JR. (EXECUTIVE DIRECTOR)
(318) 425-7781
Entity
Organization
Contact information
Practice address
601 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 425-7781
(318) 226-1299
Mailing address
601 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 425-7781
(318) 226-1299
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0011028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011028
—
LA
Enumeration date
01/08/2013
Last updated
01/08/2013
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