National Provider Identifier Database

DEVELOPMENTAL RESOURCE CORPORATION
Rehabilitation, Substance Use Disorder


Contact Information

DEVELOPMENTAL RESOURCE CORPORATION
1120 CRESWELL AVE
SHREVEPORT, LA71101-3961
Phone: 318-208-4600
Fax: 318-603-3128
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for DEVELOPMENTAL RESOURCE CORPORATION

NPI Number 1417776279
Legal business name
LBN
DEVELOPMENTAL RESOURCE CORPORATION
Authorized official PHILLIP PRYOR - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/08/2024
Last updated 10/08/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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