Organization
COMMUNITY INDEPENDENT LIVING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA GOINGS (DIRECTOR)
(985) 795-0096
Entity
Organization
Contact information
Practice address
940 ELLIS ST, FRANKLINTON, LA 70438-1728
(985) 795-0096
(985) 839-5114
Mailing address
940 ELLIS ST, FRANKLINTON, LA 70438-1728
(985) 795-0096
(985) 839-5114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7085
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1564729
—
LA
Enumeration date
05/01/2007
Last updated
08/16/2021
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