A Small World in the River Region, Inc.

Organization Active NPI Developmentally Disabled Services Day Training Agency · Boutte, LA

NPI 1346419983 · NPPES record last updated Feb 28, 2008

Key facts

NPI
1346419983
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
License
14092 (LA)
Legal business name
A SMALL WORLD IN THE RIVER REGION, INC.
Practice address
13174 Highway 90
Boutte, LA 70039
Phone
(985) 785-1402
Fax
(985) 785-1404
NPI assigned
Feb 28, 2008
Organization subpart
No

Authorized official

Name
Terra Washington
Title
Executive Director
Phone
(504) 328-1627

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
A Small World in the River Region Inc (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 14092 LA Yes

Addresses

Primary practice location

13174 Highway 90
Boutte, LA 70039

Mailing address

732 Westbank Expy
Gretna, LA 70053-5623
Phone (504) 328-1627

Other identifiers

IdentifierTypeStateIssuer
14092MedicaidLA

Other providers in Boutte, LA

All providers in Boutte, LA · Developmentally Disabled Services Day Training Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.