Organization
INNOVATIVE COMMUNICATORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N. WAXMAN (OWNER)
(318) 387-9225
Entity
Organization
Contact information
Practice address
1404 HUDSON LN SUITE 227, MONROE, LA 71201
(318) 387-9225
(318) 387-9751
Mailing address
1404 HUDSON LN SUITE 227, MONROE, LA 71201
(318) 387-9225
(318) 387-9751
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3336207
LA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
33620-7
LA
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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