Organization
LOUISIANA EARLY INTERVENTION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA WHITE COOPER M.ED. (DIRECTOR)
(318) 758-2728
Entity
Organization
Contact information
Practice address
22173 HIGHWAY 124, JONESVILLE, LA 71343-7827
(318) 758-2728
(318) 339-4726
Mailing address
22173 HIGHWAY 124, JONESVILLE, LA 71343-7827
(318) 758-2728
(318) 339-4726
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
40207533K
LA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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