Organization
ST TAMMANY ASSOC. FOR RETARDED CITIZENS
Active
Other names
STARC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE BAHAM (EXECUTIVE DIRECTOR)
(985) 646-0219
Entity
Organization
Contact information
Practice address
1541 SAINT ANN PL, SLIDELL, LA 70460-2315
(985) 646-0219
Mailing address
1541 SAINT ANN PL, SLIDELL, LA 70460-2315
(985) 646-0219
(985) 641-8947
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
3418
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1913235
—
LA
Enumeration date
04/10/2007
Last updated
08/22/2020
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