Organization
COLWELL INTEREST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B COLWELL (OWNER)
(318) 442-2284
Entity
Organization
Contact information
Practice address
1111 MAIN ST, PINEVILLE, LA 71360-6423
(318) 442-2284
(318) 448-1427
Mailing address
1111 MAIN ST, PINEVILLE, LA 71360-6423
(318) 442-2284
(318) 448-1427
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2203781096
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203781096
—
LA
Enumeration date
09/25/2012
Last updated
09/25/2012
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