Organization
PINEVILLE ADULT DAY CARE
Active
Parent organization
COLWELL INTEREST, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLWELL INTEREST, INC.
Authorized official
MR. JAMES B COLWELL (PROGRAM MANAGER)
(318) 442-2284
Entity
Organization
Contact information
Practice address
1407 OAKLAND ST, PINEVILLE, LA 71360-5167
(318) 442-2284
(318) 448-1427
Mailing address
1111 MAIN ST, PINEVILLE, LA 71360-6423
(318) 442-2284
(318) 448-1427
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19G094
—
LA
05
—
19G219
—
LA
05
—
19G276
—
LA
05
—
19G480
—
LA
Enumeration date
11/02/2011
Last updated
11/02/2011
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