| Louisiana Industries For The Disabled, Inc. | |
|
855 Saint Ferdinand St Baton Rouge LA 70802-6453 | |
| (225) 336-0000 | |
| Not Available |
| Full Name | Louisiana Industries For The Disabled, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 855 Saint Ferdinand St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Daryel Prust (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2259281400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Industries For The Disabled, Inc. 1979 Beaumont Dr Baton Rouge LA 70806-1410 Ph: (225) 928-1400 | Louisiana Industries For The Disabled, Inc. 855 Saint Ferdinand St Baton Rouge LA 70802-6453 Ph: (225) 336-0000 |
| NPI Number | 1609142033 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609142033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AC2104 (Louisiana) | Primary |
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