Organization
ST JOHN ASSOCIATION FOR RETARDED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN HUTCHINSON (IFSS DIRECTOR)
(985) 652-5706
Entity
Organization
Contact information
Practice address
101 BAMBOO RD, LA PLACE, LA 70068-6457
(985) 652-5706
(985) 652-2536
Mailing address
101 BAMBOO RD, LA PLACE, LA 70068-6457
(985) 652-5706
(985) 652-2536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4824
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172031
—
LA
05
—
1692476
—
LA
05
—
1955761
—
LA
05
—
1955779
—
LA
Enumeration date
08/01/2012
Last updated
08/01/2012
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