Organization
A SMALL WORLD IN THE RIVER REGION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRA WASHINGTON (EXECUTIVE DIRECTOR)
(504) 328-1627
Entity
Organization
Contact information
Practice address
13174 HIGHWAY 90, BOUTTE, LA 70039
(985) 785-1402
(985) 785-1404
Mailing address
732 WESTBANK EXPY, GRETNA, LA 70053-5623
(504) 328-1627
(504) 328-1467
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
14092
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14092
—
LA
Enumeration date
02/28/2008
Last updated
02/28/2008
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