Organization
THE ARC OF MOREHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENARD C HALLEY (EXECUTIVE DIRECTOR)
(318) 283-2338
Entity
Organization
Contact information
Practice address
10640 LUCY HUDSON DR, BASTROP, LA 71220-1838
(318) 283-2338
(318) 283-2340
Mailing address
10640 LUCY HUDSON DR, BASTROP, LA 71220-1838
(318) 283-2338
(318) 283-2340
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2492
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912531
—
LA
Enumeration date
04/24/2007
Last updated
09/16/2008
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