Provider Demographics
NPI:1053498741
Name:FUTURE EXPECTATIONS COMMUNITY CARE SERVICES
Entity Type:Organization
Organization Name:FUTURE EXPECTATIONS COMMUNITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSHLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYMO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:318-648-9697
Mailing Address - Street 1:103 E LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:WINNFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71483-3279
Mailing Address - Country:US
Mailing Address - Phone:318-648-9697
Mailing Address - Fax:
Practice Address - Street 1:103 E LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:WINNFIELD
Practice Address - State:LA
Practice Address - Zip Code:71483-3279
Practice Address - Country:US
Practice Address - Phone:318-648-9697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6707251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1527441Medicaid