Organization
ACADIA COUNCIL ON AGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. MALITA BARTIE (EXECUTIVE DIRECTOR)
(337) 788-1400
Entity
Organization
Contact information
Practice address
824 E 1ST ST, CROWLEY, LA 70526-5302
(337) 788-1400
(337) 788-3198
Mailing address
824 E 1ST ST, PO BOX 1482, CROWLEY, LA 70526-5302
(337) 788-1400
(337) 788-3198
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
006035212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1909319
—
LA
Enumeration date
12/29/2014
Last updated
12/29/2014
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