Organization
WEST CARROLL ARC
Active
Other names
Mary Biggs DDTC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE M GRUBBS (EXECUTIVE DIRECTOR)
(318) 428-4675
Entity
Organization
Contact information
Practice address
611 WEST JEFFERSON, OAK GROVE, LA 71263
(318) 428-4675
(318) 428-4675
Mailing address
P. O. BOX 1391, OAK GROVE, LA 71263
(318) 428-4675
(318) 428-4675
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932345
—
LA
Enumeration date
10/16/2007
Last updated
10/16/2007
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