Provider Demographics
NPI:1144403841
Name:COZY CARE ADULT DAY CARE
Entity Type:Organization
Organization Name:COZY CARE ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRINEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-359-2527
Mailing Address - Street 1:516 EAST AIRLINE HIGHWAY
Mailing Address - Street 2:SUITE D
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068
Mailing Address - Country:US
Mailing Address - Phone:985-359-2527
Mailing Address - Fax:985-359-4102
Practice Address - Street 1:516 EAST AIRLINE HIGHWAY
Practice Address - Street 2:SUITE D
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068
Practice Address - Country:US
Practice Address - Phone:985-359-2527
Practice Address - Fax:985-359-4102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services