Organization
LASTING IMPRESSION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRU'IESHIA ANDERSON-MANARD (OWNERDIRECTOR)
(504) 494-9246
Entity
Organization
Contact information
Practice address
2113 SPANISH OAKS DR, HARVEY, LA 70058-3060
(504) 227-8343
(504) 227-8540
Mailing address
405 GRETNA BLVD STE 103C, GRETNA, LA 70053-4945
(504) 227-8343
(504) 227-8540
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
SIL20000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629383
—
LA
05
—
1709735
—
LA
05
—
1723100
—
LA
05
—
1725633
—
LA
Enumeration date
10/01/2007
Last updated
10/01/2007
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