Organization
NEW EARTH, INC.
Active
Other names
LeDoux Provosty, Sr. Memorial Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES B. RANDALL (ADMINISTRATOR)
(318) 563-4424
Entity
Organization
Contact information
Practice address
4332 JEANSONNE ST, HESSMER, LA 71341-4649
(318) 563-4424
(318) 563-4424
Mailing address
4332 JEANSONNE ST, HESSMER, LA 71341-4649
(318) 563-4424
(318) 563-4424
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
280
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715531
—
LA
Enumeration date
02/20/2008
Last updated
02/20/2008
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