Lelia Jackson Residence, #98

LBN: Eastern La. Mental Health System Community Homes Division
Lelia Jackson Residence, #98 is an health care organization with primary practice located at 4502 Hwy. 951 , Jackson LA 70748-0498. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Eastern La. Mental Health System Community Homes Division can be contacted via phone (225) 634-0661, or through Harrell, Donna M. via phone (225) 634-0661.

Contact Information

Primary practice address
4502 Hwy. 951 Jackson LA 70748-0498
Phone: (225) 634-0661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Donna M.
Phone: (225) 634-0661

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 703 Louisiana

Profile Details

NPI number 1972729127
LBN Legal business name Eastern La. Mental Health System Community Homes Division
DBA Doing business as Lelia Jackson Residence, #98
Authorized official Harrell, Donna M.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972729127 NPPES
Louisiana MEDICAID 1712281

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