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Contact Information

EASTER SEALS LOUISIANA INC.
725 JORDAN STREET
SHREVEPORT, LA71101
 Phone: 318-221-1993
 Fax: 318-221-1995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for EASTER SEALS LOUISIANA INC.

NPI Number 1538544390
LBN Legal business name EASTER SEALS LOUISIANA INC.
Authorized official TRACY GARNER - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2015
Last updated 07/22/2015 - About 11 years ago
Identifiers
LA Medicaid MIS#600754983
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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