Organization
LIBERTY RESTORATION COMMUNITY DEVELOPMENT CORPORATION
Active
Organization
LIBERTY RESTORATION COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE JOHNSON (DIRECTOR OF OPERATIONS)
(985) 340-7033
Entity
Organization
Contact information
Practice address
12415 WARDLINE RD, HAMMOND, LA 70401-6210
(985) 340-7033
(985) 340-7035
Mailing address
12415 WARDLINE RD, HAMMOND, LA 70401-6210
(985) 340-7033
(985) 340-7035
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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