Provider Demographics
NPI:1437453057
Name:ALEXANDER MILNE DEVELOPMENTAL SERVICES
Entity Type:Organization
Organization Name:ALEXANDER MILNE DEVELOPMENTAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-327-6550
Mailing Address - Street 1:1065 MILNE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-3000
Mailing Address - Country:US
Mailing Address - Phone:985-327-6550
Mailing Address - Fax:985-327-6552
Practice Address - Street 1:1065 MILNE CIRCLE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-3000
Practice Address - Country:US
Practice Address - Phone:985-327-6550
Practice Address - Fax:985-327-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities