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MIRACLE OUTLOOK FAMILY SERVICES NPI 1295768075


NPI Information

NPI: 1295768075
Provider Name: MIRACLE OUTLOOK FAMILY SERVICES
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
2404 FERRAND ST
SUITE 21
MONROE, LA
ZIP 71201
Phone: (318) 324-0048
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MIRACLE OUTLOOK FAMILY SERVICES is a day training developmentally disabled services in Monroe, LA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MIRACLE OUTLOOK FAMILY SERVICES NPI is 1295768075. The provider is registered as an organization entity type.

The provider's business location address is:

2404 FERRAND ST
SUITE 21
MONROE, LA
ZIP 71201-234
Phone: (318) 324-0048
Fax: (318) 324-0199

The provider's authorized official is Regina L Jackson .
The authorized official title is Owner and has the following contact phone number (318) 324-0048.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health2203781289LOUISIANANo
2251C00000XDay Training, Developmentally Disabled Services10851LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11461407MEDICAIDLOUISIANA
21461849MEDICAIDLOUISIANA
31529559MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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