Healthcare Provider Details

I. General information

NPI: 1548461650
Provider Name (Legal Business Name): JOB LINK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WESTSIDE NORTH CENTER STE 15C
GRETNA LA
70053
US

IV. Provider business mailing address

WESTSIDE NORTH CENTER STE 15C
GRETNA LA
70053
US

V. Phone/Fax

Practice location:
  • Phone: 504-366-1828
  • Fax:
Mailing address:
  • Phone: 504-366-1828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberADC4098
License Number StateLA

VIII. Authorized Official

Name: RONALD SPECHT
Title or Position: DIRECTOR
Credential:
Phone: 504-366-1828