Whalio Doctors

NPI 1760690754

Jastay Enterprises INC

Organisation PACE Provider Organization Bastrop, LA

Practice location

Address
117 N Washington St, Bastrop, LA 71220
Phone
(318) 556-3378
Fax
(318) 283-5200

Authorised official

Name
Cynthia Faye Taylor
Title
Owner
Phone
(318) 556-3378

Registered specialties (2)

PACE Provider Organization Primary
Agencies Taxonomy 251T00000X Licence 10768 (LA)
PACE Provider Organization
Agencies Taxonomy 251T00000X Licence 10769 (LA)

Registry record

NPI
1760690754
Entity type
Organization
NPI issued
21 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.