Lasalle Association for the Developmentally Delayed, Inc.

NPI #1649369315 in Jena, Louisiana

Provider Information

NPI Number: 1649369315
Entity Type: Organization
Organization Name: Lasalle Association for the Developmentally Delayed, Inc.
Primary Specialty: Exclusive Provider Organization
Enumeration Date: Oct 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1258 PEPPER ST
City: Jena
State: Louisiana
ZIP Code: 71342-4432
Phone: (318) 992-6217

Authorized Official

Name: MRS. JUDY G. JORDAN
Title: ADMINISTRATOR
Phone: (318) 992-6217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Exclusive Provider Organization	302F00000X	Primary

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