Organization
OMNI HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL JOHNSON JR. MPA (DIRECTOR)
(225) 356-1710
Entity
Organization
Contact information
Practice address
7340 PLANK RD, BATON ROUGE, LA 70811-5435
(225) 356-1710
(225) 356-1711
Mailing address
7340 PLANK RD, BATON ROUGE, LA 70811-5435
(225) 356-1710
(225) 356-1711
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC7714
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559563
—
LA
Enumeration date
09/24/2007
Last updated
09/24/2007
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