NPI 1659410611

Lasalle Association for the Developmentally Delayed, INC

Organisation Exclusive Provider Organization Jena, LA

Practice location

Address: 1258 Pepper St, Jena, LA 71342-4432
Phone: (318) 992-6217
Fax: (318) 992-0467

Authorised official

Name: Pamela B. Coon
Title: Transporation Coordinator
Phone: (318) 992-6217

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence ADC2324 (LA)

Other Exclusive Provider Organization providers in Louisiana →

Registry record

NPI: 1659410611
Entity type: Organization
NPI issued: 6 Feb 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.