Organization
LOUISIANA STEP UP ORGANIZATION
Active
Other names
LA Step Up
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA DICKERSON (DIRECTOR)
(985) 514-6900
Entity
Organization
Contact information
Practice address
412 7TH ST, KENTWOOD, LA 70444-2308
(888) 203-1417
(985) 284-4697
Mailing address
PO BOX 3961, BATON ROUGE, LA 70821-3961
(888) 203-1417
(985) 284-4697
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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