Organization
LOUISIANA INDUSTRIES FOR THE DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYEL PRUST (EXECUTIVE DIRECTOR)
(225) 928-1400
Entity
Organization
Contact information
Practice address
855 SAINT FERDINAND ST, BATON ROUGE, LA 70802-6453
(225) 336-0000
Mailing address
1979 BEAUMONT DR, BATON ROUGE, LA 70806-1410
(225) 928-1400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AC2104
LA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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