Whalio Doctors

NPI 1043408651

Lasting Impression Care INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gretna, LA

Practice location

Address
405 Gretna Blvd Suite 103c, Gretna, LA 70053-4900
Phone
(507) 227-8343
Fax
(504) 227-8540

Authorised official

Name
Tru'Ieshia Ranee Anderson-Manard
Title
Director
Phone
(504) 227-8343

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence PCA 14002 (LA)

Registry record

NPI
1043408651
Entity type
Organization
NPI issued
9 Oct 2007
Record last updated
9 Oct 2007

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.