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Organization

HEARTS DESIRE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM G. WORLEY JR. (CO-OWNER)
(318) 387-5765
Entity
Organization

Contact information

Practice address
2900 CAMERON ST, MONROE, LA 71201-3714
(318) 387-5765
(318) 329-2936
Mailing address
2900 CAMERON ST, MONROE, LA 71201-3714
(318) 387-5765
(318) 329-2936

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
SIL 10791
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1462403
LA
01
SIL 10791
DEPT. OF HEALTH & HOSP.
LA
Enumeration date
03/02/2007
Last updated
08/22/2020
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