Organization
NORTHWEST SUPPORTS AND SERVICES CENTER
Active
Other names
Northwest Louisiana Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID COLVIN (ADMINISTRATOR)
(318) 741-5200
Entity
Organization
Contact information
Practice address
5401 SHED RD, BOSSIER CITY, LA 71111-5420
(318) 741-5230
(318) 741-5303
Mailing address
5401 SHED RD, BOSSIER CITY, LA 71111-5420
(318) 741-5230
(318) 741-5303
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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