Organization
LULA MAE'S DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANEKA HAMILTON MASTER SOCIAL WORKER (EXECUTIVE DIRECTOR)
(870) 663-0472
Entity
Organization
Contact information
Practice address
613 W 8TH AVE, PINE BLUFF, AR 71601-4855
(870) 663-0472
Mailing address
2301 STARLITE DR, PINE BLUFF, AR 71603-3563
(870) 550-2984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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