Organization
JADAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIAN WILLIAMS LCSW (ADMINISTRATOR)
(318) 614-1783
Entity
Organization
Contact information
Practice address
3100 KILPATRICK BLVD OFC 101, MONROE, LA 71201-5156
(318) 557-5086
(318) 325-3245
Mailing address
PO BOX 4422, MONROE, LA 71211-4422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PCA 6622
LA
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1315486
—
LA
05
—
2112325
—
LA
Enumeration date
12/28/2006
Last updated
04/15/2022
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