Organization
PEOPLE UNITED OF LOUISIANA LLC
Active
Other names
People United of Louisiana LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE L ROACH MBA (OWNER)
(225) 278-8375
Entity
Organization
Contact information
Practice address
2101 TOWER DR STE A, MONROE, LA 71201-5045
(318) 323-1300
(318) 323-1400
Mailing address
PO BOX 77053, BATON ROUGE, LA 70879-7053
(318) 323-1300
(318) 323-1400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
CM 27048
LA
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203785427
—
LA
05
—
2593323
—
LA
05
—
CM0008992
—
LA
Enumeration date
02/18/2011
Last updated
03/29/2023
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