Organization
COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN FISHER (DIRECTOR)
(318) 651-8079
Entity
Organization
Contact information
Practice address
1811 ROSELAWN AVE, MONROE, LA 71201-5433
(318) 651-8079
Mailing address
PO BOX 7563, MONROE, LA 71211-7563
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1476943
—
LA
Enumeration date
11/29/2006
Last updated
08/22/2020
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