Organization
ETERNAL BLESSINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CAMPBELL (ADMINISTRATOR)
(318) 249-4562
Entity
Organization
Contact information
Practice address
6603 HIGHWAY 34, CHATHAM, LA 71226-9326
(318) 249-4562
(318) 249-4460
Mailing address
6603 HIGHWAY 34, CHATHAM, LA 71226-9326
(318) 249-4562
(318) 249-4460
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
HC0006427
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC0006427
—
LA
Enumeration date
04/30/2014
Last updated
04/30/2014
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