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NPI Code Detail

MEDICARE: LECONNEXION COMMUNAUTE, INC.

MEDICARE: LECONNEXION COMMUNAUTE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency12501LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013053560
Entity Type Code : Organization
Provider Name (Legal Business Name) : LECONNEXION COMMUNAUTE, INC.
Provider Business Mailing Address
First Line : PO BOX 396
Second Line :
City : FRENCH SETTLEMENT
State : LA
Zip : 70733-0396
Country : US
Telephone Number : 225-698-9008
Fax Number : 225-698-9845
Provider Business Practice Location Address
First Line : 18350 LA HIGHWAY 42
Second Line :
City : PORT VINCENT
State : LA
Zip : 70726-8024
Country : US
Telephone Number : 225-622-9811
Fax Number : 225-698-9845
Authorized Official
Title or Position : BOOKKEEPER
Name : MS. DIANA K DARBONNE
Credential :
Telephone Number : 225-698-9008
Provider Enumeration Date : 01/30/2007
Last Update Date : 08/22/2020

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Directions to “LECONNEXION COMMUNAUTE, INC. ” Practice Location

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