Organization
MOM-4-A-DAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA JACOBS (ADMINISTRAROR)
(985) 839-0089
Entity
Organization
Contact information
Practice address
304 11TH AVE, FRANKLINTON, LA 70438-1147
(985) 839-8985
(985) 839-8986
Mailing address
304 11TH AVE, FRANKLINTON, LA 70438-1147
(985) 839-8985
(985) 839-8986
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
PCA 12260
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148776
—
LA
05
—
1643114
—
LA
Enumeration date
03/26/2007
Last updated
05/20/2008
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