National Provider Identifier Database

ST TAMMANY ASSOC FOR RETARDED CITIZENS
Voluntary or Charitable


Contact Information

ST TAMMANY ASSOC FOR RETARDED CITIZENS
1541 SAINT ANN PL
SLIDELL, LA70460-2315
Phone: 985-646-0219
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for ST TAMMANY ASSOC FOR RETARDED CITIZENS

NPI Number 1225151475
Legal business name
LBN
ST TAMMANY ASSOC FOR RETARDED CITIZENS
Authorized official DIANNE BAHAM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/10/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 766
  • LA Medicaid: 1713261

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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