Organization
HEARTS DESIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GRUNDY WORLEY JR. (CO-OWNER)
(318) 387-5765
Entity
Organization
Contact information
Practice address
2900 CAMERON ST, MONROE, LA 71201-3714
(318) 387-5765
(318) 329-2936
Mailing address
2900 CAMERON ST, MONROE, LA 71201-3714
(318) 387-5765
(318) 329-2936
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
10638
LA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1156396
—
LA
05
—
2594419
—
LA
01
—
PCA 10638
DEPT. OF HEALTH & HOSP.
LA
Enumeration date
02/27/2007
Last updated
01/05/2023
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