Organization
VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MEEHAN (PRESIDENT/CEO)
(318) 221-2669
Entity
Organization
Contact information
Practice address
1554 MAGNOLIA AVE, ROOM A203, SHREVEPORT, LA 71101
(318) 213-1654
(318) 429-6929
Mailing address
360 JORDAN STREEET, SHREVEPORT, LA 71101
(318) 221-2669
(318) 429-7502
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8146
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912743
—
LA
05
—
1929018
—
LA
Enumeration date
04/02/2007
Last updated
09/09/2020
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