Miracle Outlook Family Services

LBN: Miracle Outlook Family Services
Miracle Outlook Family Services is an health care organization with primary practice located at 2404 Ferrand St Suite 21, Monroe LA 71201-4954. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Miracle Outlook Family Services can be contacted via phone (318) 324-0048, or through Jackson, Rgina via phone (318) 324-0048.

Contact Information

Primary practice address
2404 Ferrand St Suite 21 Monroe LA 71201-4954
Fax:
Website:
Authorized official contact:
Name: Jackson, Rgina

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 10851 Louisiana

Profile Details

NPI number 1306020615
LBN Legal business name Miracle Outlook Family Services
DBA Doing business as
Authorized official Jackson, Rgina
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2007
Last updated Apr 28th, 2017 - about 9 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 1306020615 NPPES
Louisiana MEDICAID 1529559

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