Organization
JACKIE'S LOVIN TOUCH PROFESSIONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIETISCHA JACQUENETTE GRIFFIN (DIRECTOR)
(504) 228-9571
Entity
Organization
Contact information
Practice address
316 FEDERAL DR, AVONDALE, LA 70094-2433
(504) 228-9571
Mailing address
316 FEDERAL DR, AVONDALE, LA 70094-2433
(504) 228-9571
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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