NPI 1063624625

Fields de La Narurlae

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Monroe, LA

Practice location

Address: 2828 Gay Dr, Monroe, LA 71202-6765
Phone: (318) 322-1910
Fax: (318) 322-1910
Mailing address: 3660 Hadley St, Monroe, LA 71202-4556

Authorised official

Name: Jeanette Little Myles
Title: Qmrp
Phone: (318) 322-1910

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 192 (LA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1063624625
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 22 Aug 2020

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.