Provider Demographics
NPI:1093053746
Name:RC MOORE VOCATIONAL INC
Entity Type:Organization
Organization Name:RC MOORE VOCATIONAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:IRIS
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-682-9110
Mailing Address - Street 1:PO BOX 508
Mailing Address - Street 2:
Mailing Address - City:VIOLET
Mailing Address - State:LA
Mailing Address - Zip Code:70092-0508
Mailing Address - Country:US
Mailing Address - Phone:504-682-9110
Mailing Address - Fax:504-682-9117
Practice Address - Street 1:6301 E SAINT BERNARD HWY
Practice Address - Street 2:
Practice Address - City:VIOLET
Practice Address - State:LA
Practice Address - Zip Code:70092-3452
Practice Address - Country:US
Practice Address - Phone:504-682-9110
Practice Address - Fax:504-682-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAHC0010456251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services