Organization
ALL FOR ONE ADULT AND YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH LEWIS SENEGAL (OWNER-ADMINISTRATOR)
(214) 676-3468
Entity
Organization
Contact information
Practice address
616 NORTH WILSON ST, CHURCH POINT, LA 70525-2418
(214) 676-3468
Mailing address
616 N WILSON ST, CHURCH POINT, LA 70525-2418
(214) 676-3468
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
40082978N
LA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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