Organization
ISLAND ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANN E PICOU (OWNER)
(225) 698-1500
Entity
Organization
Contact information
Practice address
1257 N BARMAN AVE, GONZALES, LA 70737-2440
(225) 644-6951
(225) 644-6593
Mailing address
17321 CLINE DR, MAUREPAS, LA 70449-5128
(225) 698-9379
(225) 698-3651
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
10358
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712841
—
LA
Enumeration date
03/01/2007
Last updated
08/22/2020
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