Organization
PORT CITY ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE C. DUNLEVY BSW (EXECUTIVE DIRECTOR)
(225) 344-1142
Entity
Organization
Contact information
Practice address
836 N 7TH ST, PORT ALLEN, LA 70767-0113
(225) 344-1142
(225) 344-1192
Mailing address
836 N 7TH ST, PO BOX 113, PORT ALLEN, LA 70767
(225) 344-1142
(225) 344-1192
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
2263
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1911283
—
LA
Enumeration date
09/25/2007
Last updated
09/25/2007
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