Organization
JANE LOCKETT HARTMAN OUTREACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMPEST JACKSON (DIRECTOR)
(985) 395-0035
Entity
Organization
Contact information
Practice address
316 HWY 90 WEST, PLANE NORMAL SHOPPING CENTER, PATTERSON, LA 70392
(985) 395-0035
(985) 395-0032
Mailing address
316 HWY 90 WEST, PLANE NORMAL SHOPPING CENTER, PATTERSON, LA 70392
(985) 395-0035
(985) 395-0032
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PCA 12190
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171522
—
LA
Enumeration date
01/26/2007
Last updated
08/22/2020
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