Provider Demographics
NPI:1548075310
Name:LULA MAE'S DAY CENTER
Entity type:Organization
Organization Name:LULA MAE'S DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER SOCIAL WORKER
Authorized Official - Phone:870-663-0472
Mailing Address - Street 1:2301 STARLITE DR
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-3563
Mailing Address - Country:US
Mailing Address - Phone:870-550-2984
Mailing Address - Fax:
Practice Address - Street 1:613 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-4855
Practice Address - Country:US
Practice Address - Phone:870-663-0472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)