Organization
EASTER SEALS LOUISIANA INC.
Active
Organization
EASTER SEALS LOUISIANA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY GARNER (PRESIDENT/CEO)
(504) 523-7325
Entity
Organization
Contact information
Practice address
725 JORDAN STREET, SHREVEPORT, LA 71101
(318) 221-1993
(318) 221-1995
Mailing address
1010 COMMON STREET, SUITE 2440, NEW ORLEANS, LA 70112-2449
(504) 423-7325
(504) 523-3465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MIS#600754983
—
LA
Enumeration date
07/22/2015
Last updated
07/22/2015
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