LASALLE ASSOCIATION FOR THE DEVELOPMENTALLY DELAYED, INC.

JENA, LA
NPI1649369315
Entity TypeOrganization
Authorized ContactJUDY G. JORDAN
Administrator
318-992-6217
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: LA  ADC2324)
Enumeration Date2006-10-12
Last Update Date2020-08-22
Business Address
LASALLE ASSOCIATION FOR THE DEVELOPMENTALLY DELAYED, INC.
1258 PEPPER ST
JENA, LA 71342-4432
Phone number: 318-992-6217
Mailing Address
LASALLE ASSOCIATION FOR THE DEVELOPMENTALLY DELAYED, INC.
1258 PEPPER ST
JENA, LA 71342-4432
Phone number: 318-992-6217
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LASALLE ASSOCIATION FOR THE DEVELOPMENTALLY DELAYED, INC
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