Organization
BAYOU INDUSTRIAL MAINTENANCE SERVICES, INC.
Active
Other names
BIMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN P. COLLINS (EXECUTIVE DIRECTOR)
(985) 384-2003
Entity
Organization
Contact information
Practice address
2675 4TH ST, BERWICK, LA 70342-2835
(985) 384-2009
Mailing address
2675 4TH ST, BERWICK, LA 70342-2835
(985) 384-2009
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC2513
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1960870
—
LA
Enumeration date
08/27/2009
Last updated
08/27/2009
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