Organization
LUCIANA COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUARIA TATUM (DIRECTOR)
(205) 821-2119
Entity
Organization
Contact information
Practice address
508 16TH AVE NW, CENTER POINT, AL 35215-5318
(205) 821-2119
Mailing address
508 16TH AVE NW, CENTER POINT, AL 35215-5318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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