NPI 1912195355

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: (504) 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)

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

Registry record

NPI: 1912195355
Entity type: Organization
NPI issued: 11 Oct 2007
Record last updated: 11 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.