Organization
THE POTTER'S HOUSE COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE JUNIUS (EXECUTIVE DIRECTOR)
(225) 927-0600
Entity
Organization
Contact information
Practice address
1986 DALLAS DR, BATON ROUGE, LA 70806-1400
(225) 927-0600
(225) 927-6544
Mailing address
1986 DALLAS DR, BATON ROUGE, LA 70806-1400
(225) 927-0600
(225) 927-6544
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
5122
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1697711
SIL
LA
Enumeration date
04/13/2007
Last updated
08/22/2020
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