Organization
JADAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIAN WILLIAMS LCSW (ADMINISTRATOR)
(318) 557-5086
Entity
Organization
Contact information
Practice address
1705 WASHINGTON ST, MONROE, LA 71201-7046
(318) 557-5086
Mailing address
1705 WASHINGTON ST, MONROE, LA 71201-7046
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2112325
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112325
—
LA
Enumeration date
09/07/2010
Last updated
09/07/2010
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