JANE LOCKETT HARTMAN OUTREACH
Custodial Care Facility
New Iberia, Louisiana
Provider NPI: 1962681544
Organization Information:Organization Name: JANE LOCKETT HARTMAN OUTREACH
Practice Location:
801 S LEWIS ST STE 3 NEW IBERIA, LA 70560 US
Tel: 337-560-0727 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
801 S LEWIS ST STE 3 NEW IBERIA, LA 70560 US
Tel: 337-560-0727 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | LA | 14007 |
Y | 3747P1801X | Nursing Service Related Providers Technician | LA | 14007 |