Organization
ARC OF DESOTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARVA WARMSLEY (DIRECTOR)
(318) 872-3255
Entity
Organization
Contact information
Practice address
1528 OLD JEFFERSON HWY, 1528 OLD JEFFERSON HIGHWAY, MANSFIELD, LA 71052-3427
(318) 872-3255
(318) 872-3233
Mailing address
PO BOX 1238, 1528 OLD JEFFERSON HIGHWAY, MANSFIELD, LA 71052-1238
(318) 872-3255
(318) 872-3233
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC 8600
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1937304
SUPPORTED EMPLOYMENT
LA
01
—
1937312
PRE VOC
LA
Enumeration date
12/21/2007
Last updated
12/21/2007
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