Organization
1ST A ALLIANCE PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY POWELL (ADMINISTRATOR)
(318) 255-6003
Entity
Organization
Contact information
Practice address
300 S FARMERVILLE ST, RUSTON, LA 71270-4653
(318) 255-6003
(318) 251-0041
Mailing address
300 SOUTH FARMERVILLE STREET, RUSTON, LA 71270
(318) 255-6003
(318) 251-0041
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
LA
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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