Organization
THE POTTERS HOUSE COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE JUNIUS (EXECUTIVE DIRECTOR)
(225) 927-0600
Entity
Organization
Contact information
Practice address
1605 MURRAY ST STE 104, ALEXANDRIA, LA 71301-6875
(318) 767-9900
(318) 443-2101
Mailing address
1605 MURRAY ST STE 104, ALEXANDRIA, LA 71301-6875
(318) 767-9900
(318) 443-2101
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8359
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101681
PCA
LA
Enumeration date
04/12/2007
Last updated
08/22/2020
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