Organization
LOUISIANA SPECIAL EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A JOINER (INTERIM DIRECTOR)
(318) 484-2223
Entity
Organization
Contact information
Practice address
5400 COLISEUM BLVD, ALEXANDRIA, LA 71303-3705
(318) 487-5484
(318) 487-5002
Mailing address
5400 COLISEUM BLVD, ALEXANDRIA, LA 71303-3705
(318) 487-5484
(318) 487-5002
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
1712094
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712094
—
LA
Enumeration date
05/10/2007
Last updated
08/22/2020
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