Organization
PEOPLE UNITED OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE ROACH MBA (OWNER)
(225) 756-4494
Entity
Organization
Contact information
Practice address
3600 JACKSON ST EXT STE 130, ALEXANDRIA, LA 71303-3064
(225) 756-4494
(225) 756-4495
Mailing address
PO BOX 77053, BATON ROUGE, LA 70879-7053
(225) 756-4494
(225) 756-4495
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
2203781706
LA
Other
Enumeration date
07/27/2013
Last updated
02/14/2022
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