Organization
J. ALLEN INVESTMENT LLC
Active
Other names
Alpha Garden Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JA'JUAN JOSEPH ALLEN (OWNER)
(318) 415-8872
Entity
Organization
Contact information
Practice address
42573 PLEASANT RIDGE ROAD EXT, PONCHATOULA, LA 70454-4764
(318) 415-8872
(985) 345-3060
Mailing address
42573 PLEASANT RIDGE ROAD EXT, PONCHATOULA, LA 70454-4764
(318) 415-8872
(985) 345-3060
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
LA
252Y00000X
Early Intervention Provider Agency
—
LA
253Z00000X
In Home Supportive Care Agency
Primary
—
LA
Other
Enumeration date
10/29/2011
Last updated
10/29/2011
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