Organization Name: | INNOVATIVE COMMUNICATORS INC |
NPI Number: | 1619196011 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT N. WAXMAN (OWNER) |
Mailing Address: | 1404 Hudson Ln Suite 227 Monroe |
State: | LA US |
Postal Code: | 71201 |
Phone Number: | 3183879225 |
Fax Number: | 3183879751 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 3336207 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |