Organization
JANE LOCKETT HARTMAN OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TEMPEST JACKSON (OWNER)
(337) 560-0727
Entity
Organization
Contact information
Practice address
801 S LEWIS ST STE 3, NEW IBERIA, LA 70560-4882
(337) 560-0727
(337) 560-0728
Mailing address
801 S LEWIS ST STE 3, NEW IBERIA, LA 70560-4882
(337) 560-0727
(337) 560-0728
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
20002
LA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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