Provider Demographics
NPI:1457590598
Name:EMPOWERING HEALTHCARE TOO ADULT DAY PROGRAM
Entity type:Organization
Organization Name:EMPOWERING HEALTHCARE TOO ADULT DAY PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANDA
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:RSW
Authorized Official - Phone:225-328-9200
Mailing Address - Street 1:22852 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7409
Mailing Address - Country:US
Mailing Address - Phone:225-654-5481
Mailing Address - Fax:
Practice Address - Street 1:22852 PLANK RD
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7409
Practice Address - Country:US
Practice Address - Phone:225-654-5481
Practice Address - Fax:225-654-5432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5047251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services