Organization
ST JOHN ASSOCIATION FOR RETARDED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LAMBERT (DAY PROGRAM DIRECTOR)
(985) 652-8003
Entity
Organization
Contact information
Practice address
101 BAMBOO RD, LA PLACE, LA 70068-6457
(985) 652-8003
(985) 652-2536
Mailing address
101 BAMBOO RD, LA PLACE, LA 70068-6457
(985) 652-8003
(985) 652-2536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4824
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172031
—
LA
05
—
1692476
—
LA
05
—
1955761
—
LA
05
—
1955779
—
LA
05
—
2355384
—
LA
Enumeration date
07/10/2014
Last updated
07/10/2014
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