Organization
REVDOC LLC
Active
Other names
R D Industries
Organization subpart
No
Provider details
NPI number
Authorized official
LEON VALMOND MOORE (OWNER)
(225) 329-5834
Entity
Organization
Contact information
Practice address
6844 VAN GOGH AVE, BATON ROUGE, LA 70806-2764
(225) 329-5834
Mailing address
2946 POTOMAC DR, BATON ROUGE, LA 70808-3453
(225) 329-5834
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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