MEDICARE: LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, 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
1	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1407053937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC

Provider Business Mailing Address
First Line	:	904 DEVILLE LN
Second Line	:
City	:	RUSTON
State	:	LA
Zip	:	71270-6313
Country	:	US
Telephone Number	:	318-242-4647
Fax Number	:	318-232-1272

Provider Business Practice Location Address
First Line	:	904 DEVILLE LN
Second Line	:
City	:	RUSTON
State	:	LA
Zip	:	71270-6313
Country	:	US
Telephone Number	:	318-255-5020
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF HEALTH INFORMATION MGT
Name	:	JAN ALEXANDER YATES
Credential	:	RHIA
Telephone Number	:	318-255-5020

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	06/22/2022

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