Organization
LOUISIANA STEP UP ORGANIZATION
Active
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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