Organization
LOUISIANA SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WALTER HARRIS (OWNER)
(252) 717-5717
Entity
Organization
Contact information
Practice address
2955 RIDGELAKE DR, METAIRIE, LA 70002-4967
(504) 832-9623
(504) 832-9625
Mailing address
915 WASHINGTON ST, FRANKLINTON, LA 70438-1718
(985) 839-1050
(985) 839-7666
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10241206#EGG62
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139495
—
LA
Enumeration date
12/12/2013
Last updated
12/12/2013
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