NPI 1003090317

Miracle Outlook Family Services

Organisation Developmentally Disabled Services Day Training Agency Monroe, LA

Practice location

Address: 2404 Ferrand St. Suite 21, Monroe, LA 71201-4954
Phone: (318) 324-0048
Mailing address: 2404 Ferrand St Suite 21, Monroe, LA 71201-3234

Authorised official

Name: Rgina Lynn Jackson
Title: Owner
Phone: (318) 324-0048

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 10403 (LA)

Other Day Training, Developmentally Disabled Services providers in Louisiana →

Registry record

NPI: 1003090317
Entity type: Organization
NPI issued: 21 Dec 2007
Record last updated: 28 Apr 2017

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.