Organization Name: | LONDON'S BOARDING HOME, RECREATION, & REHAB TRAINING FACILITIES, INC. |
NPI Number: | 1477689289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA LONDON COLEMAN (CFO) |
Mailing Address: | 9857 St D Saint Francisville |
State: | LA US |
Postal Code: | 707754535 |
Phone Number: | 2256353283 |
Fax Number: | 2256351786 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | PCA 9060 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |