NPI 1003074824

Family Life Developmental Center

Organisation Personal Care Attendant Ruston, LA

Practice location

Address: 829 E Georgia Ave STE 5, Ruston, LA 71270-3901
Phone: (318) 255-8405

Authorised official

Name: Alphonso Bingham
Title: Administrator
Phone: (318) 255-8405

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1003074824
Entity type: Organization
NPI issued: 29 May 2008
Record last updated: 29 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.