Organization
GULF COAST OPPORTUNITY CENTER, INC.
Active
Other names
Lafayette Senior Club
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MCPHERSON (BOAD MEMBER)
(318) 445-6470
Entity
Organization
Contact information
Practice address
1011 SURREY ST, LAFAYETTE, LA 70501-6142
(337) 654-5519
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360-3828
(318) 445-6470
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121936
—
LA
Enumeration date
02/24/2011
Last updated
02/24/2011
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