Organization
POINTE COUPEE OUTREACH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOLLY N WRIGHT (EXECUTIVE DIRECTOR)
(225) 638-4606
Entity
Organization
Contact information
Practice address
8404 MANDELLA DRIVE, NEW ROADS, LA 70760
(225) 638-4663
(225) 638-7087
Mailing address
8404 MANDELLA DRIVE, NEW ROADS, LA 70760
(225) 638-4663
(225) 638-7087
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
SIL 9062
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118397
—
LA
Enumeration date
03/13/2007
Last updated
08/22/2020
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