Organization
STARC OF LOUISIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LAMARQUE (CONTROLLER)
(985) 641-0197
Entity
Organization
Contact information
Practice address
1541 SAINT ANN PL, SLIDELL, LA 70460-2315
(985) 641-0197
(985) 643-5706
Mailing address
40201 HIGHWAY 190 E, SLIDELL, LA 70461-2443
(985) 641-0197
(985) 643-4496
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
LA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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