Organization
NORTH LAKE SUPPORTS AND SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERMAN BIGNAR (MR/DD REGIONAL ADMINISTRATOR)
(225) 567-3111
Entity
Organization
Contact information
Practice address
45439 LIVE OAK DR, HAMMOND, LA 70401-4526
(225) 567-3111
Mailing address
45439 LIVE OAK DR, HAMMOND, LA 70401-4526
(225) 567-3111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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