Organization
ALPHACARE SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANDELL COBB (DIRECTOR)
(504) 310-5952
Entity
Organization
Contact information
Practice address
7809 AIRLINE DR., STE. 210, METAIRIE, LA 70003
(504) 731-3100
Mailing address
803 BAYOU PINES WEST, STE. D, LAKE CHARLES, LA 70601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2205783292
LA
251C00000X
Developmentally Disabled Services Day Training Agency
2205783292
LA
251S00000X
Community/Behavioral Health Agency
2205783292
LA
251S00000X
Community/Behavioral Health Agency
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211057505
—
LA
Enumeration date
08/02/2016
Last updated
12/08/2017
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