Organization
KEA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY J. SCOTT LAC (CEO)
(318) 651-9363
Entity
Organization
Contact information
Practice address
2911 CAMERON ST, MONROE, LA 71201-3713
(318) 651-9363
(318) 651-9251
Mailing address
2911 CAMERON ST, MONROE, LA 71201-3713
(318) 651-9363
(318) 651-9251
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
1476030
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1476030
—
LA
Enumeration date
05/21/2007
Last updated
08/22/2020
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