Organization
ANOTHER CHANCE ENTERPRISE PCA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JEROI THOMAS (DIRECTOR)
(318) 342-8404
Entity
Organization
Contact information
Practice address
208 COLE AVE, MONROE, LA 71203-3814
(318) 342-8404
(318) 342-8406
Mailing address
208 COLE AVE., MONROE, LA 71201
(318) 342-8404
(318) 342-8406
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6953
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506788
—
LA
Enumeration date
04/23/2007
Last updated
08/22/2020
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