Organization
COLUMBIA DEVELOPMENTAL CENTER
Active
Other names
Personal Care Attendant Provider
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANTHONY HARRELL (REGIONAL ASSOCIATE ADMINISTRATOR)
(318) 649-6097
Entity
Organization
Contact information
Practice address
132 HIGHWAY 850, COLUMBIA, LA 71418-1559
(318) 649-6097
(318) 649-2868
Mailing address
132 HIGHWAY 850, COLUMBIA, LA 71418-1559
(318) 649-6097
(318) 649-2868
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PCA7737
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159638
—
LA
Enumeration date
04/25/2007
Last updated
08/22/2020
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