NPI 1760690754
Jastay Enterprises INC
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
PACE Provider Organization
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.