Healthcare Provider Details

I. General information

NPI: 1821241878
Provider Name (Legal Business Name): ALL-CARE VOCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 11/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5229 COMMERCE ST
SAINT FRANCISVILLE LA
70775-1609
US

IV. Provider business mailing address

PO BOX 1609
SAINT FRANCISVILLE LA
70775-1609
US

V. Phone/Fax

Practice location:
  • Phone: 225-635-9545
  • Fax: 225-635-9151
Mailing address:
  • Phone: 225-635-9545
  • Fax: 225-635-9151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberADC8021
License Number StateLA

VIII. Authorized Official

Name: MRS. TRINA W GILMORE
Title or Position: ADMINISTRATOR
Credential:
Phone: 225-635-9545