Organization
EASTERN LA. MENTAL HEALTH SYSTEM COMMUNITY HOMES DIVISION
Active
Other names
W. T. Price Sr., Residence # 99
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M. HARRELL (ADM. CO. 4)
(225) 634-0661
Entity
Organization
Contact information
Practice address
4502 HWY. 951, JACKSON, LA 70748-0498
(225) 634-0661
Mailing address
PO BOX 498, JACKSON, LA 70748-0498
(225) 634-0661
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
697
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712299
—
LA
Enumeration date
04/26/2007
Last updated
08/22/2020
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