Organization
HAP HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA THAJUAN GLOVER (EXECUTIVE DIRECTOR)
(318) 747-1919
Entity
Organization
Contact information
Practice address
244 TURNER AVE., BARKSDALE AFB, LA 71110-0087
(318) 747-1919
(318) 747-1984
Mailing address
PO BOX 87, BARKSDALE AFB, LA 71110-0087
(318) 747-1919
(318) 747-1984
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC8646
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1961159
—
LA
Enumeration date
12/20/2007
Last updated
12/20/2007
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