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Organization

SOUTHERN INGENUITY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELLEN B. SHEPHERD (PRESIDENT)
(318) 927-5046
Entity
Organization

Contact information

Practice address
3250 HWY 79, HOMER, LA 71040
(318) 927-5046
(318) 927-5055
Mailing address
PO BOX 38, HOMER, LA 71040-0038
(318) 927-5046
(318) 927-5055

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1172189
LA
05
1437948
LA
05
1650188
LA
05
1971251
LA
Enumeration date
12/05/2006
Last updated
08/18/2015
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