Organization
RC MOORE RESPITE & PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E SMITH (EXECUTIVE DIRECTOR)
(318) 281-4889
Entity
Organization
Contact information
Practice address
200 S ALVIN ST, BASTROP, LA 71220-4105
(318) 281-4889
(318) 281-4891
Mailing address
200 S ALVIN ST, BASTROP, LA 71220-4105
(318) 281-4889
(318) 281-4891
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
8086
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543438
—
LA
Enumeration date
04/16/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us