Arc of Desoto
Organization Active NPI In Home Supportive Care Agency · Mansfield, LA
NPI 1639637671 · NPPES record last updated Mar 8, 2019
Key facts
- NPI
- 1639637671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- ARC OF DESOTO
- Practice address
- 1528 Old Jefferson Hwy
Mansfield, LA 71052-3427 - Phone
- (318) 872-3255
- Fax
- (318) 872-3233
- NPI assigned
- Mar 8, 2019
- Organization subpart
- No
Authorized official
- Name
- Victoria Jackson
- Title
- Executive Director
- Phone
- (318) 872-3255
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Arc of Desoto
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1528 Old Jefferson Hwy
Mansfield, LA 71052-3427
Mailing address
PO Box 230
Mansfield, LA 71052-0230
Phone (318) 872-3255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3188723255 | Other | LA | TELEPHONE NUMBER |
Other names
- DeSoto Habilitation Services
Other providers in Mansfield, LA
- Faith Alexander
- Precious Alston
- Rebecca Anthony
- Arc of Desoto
- Arc of Desoto
- Arc of Desoto
- Janet McCullin Arnold
- Elichia Bennett
- Kreesha Bennett
- Bio-Medical Applications of Louisiana, LLC
All providers in Mansfield, LA · In Home Supportive Care Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.