Organization
LOVE VILLAGE OF OUACHITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN DENEICE AUGURSON (ADMINISTRATION)
(318) 235-9203
Entity
Organization
Contact information
Practice address
4463 WINNSBORO RD, MONROE, LA 71202-7509
(318) 235-9203
Mailing address
4463 WINNSBORO RD, MONROE, LA 71202-7509
(318) 235-9203
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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