Organization
SMILE COMMUNITY ACTION AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAKISHA WELCH (TRANSPORTATION COORDINATOR)
(337) 369-9387
Entity
Organization
Contact information
Practice address
722 WALTON ST, NEW IBERIA, LA 70560-4449
(337) 369-9387
(337) 369-9813
Mailing address
722 WALTON ST, NEW IBERIA, LA 70560-4449
(337) 369-9387
(337) 369-9813
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1350630
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350630
—
LA
Enumeration date
09/08/2015
Last updated
09/08/2015
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