Organization
PEDIATRUST, LLC
Active
Parent organization
PEDIARUST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIARUST, LLC
Authorized official
LEANN CRAIG (CEO)
(225) 252-7633
Entity
Organization
Contact information
Practice address
2041 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4914
(225) 665-7287
Mailing address
2041 FLORIDA BLVD SW, DENHAM SPRINGS, LA 70726
(225) 665-7287
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
09/23/2013
Last updated
01/28/2025
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