Lasalle Association for the Developmentally Delayed, INC

NPI #1659410611 in Jena, Louisiana

Provider Information

NPI Number
1659410611
Entity Type
Organization
Organization Name
Lasalle Association for the Developmentally Delayed, INC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Feb 6, 2007
Last Updated
Aug 22, 2020

Practice Location

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

Authorized Official

Name
MRS. PAMELA B. COON
Title
TRANSPORATION COORDINATOR
Phone
(318) 992-6217

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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