Provider Demographics
NPI:1497785299
Name:LOUISIANA MOBILITY OF CENTRAL LA, INC
Entity Type:Organization
Organization Name:LOUISIANA MOBILITY OF CENTRAL LA, INC
Other - Org Name:ZURCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-914-1004
Mailing Address - Street 1:5508 MONROE HWY
Mailing Address - Street 2:
Mailing Address - City:BALL
Mailing Address - State:LA
Mailing Address - Zip Code:71405
Mailing Address - Country:US
Mailing Address - Phone:318-640-0988
Mailing Address - Fax:318-640-0927
Practice Address - Street 1:5508 MONROE HWY
Practice Address - Street 2:
Practice Address - City:BALL
Practice Address - State:LA
Practice Address - Zip Code:71405
Practice Address - Country:US
Practice Address - Phone:318-640-0988
Practice Address - Fax:318-640-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0198150-001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYF2986OtherBLUE CROSS OF LA
LA1544639Medicaid
LA1544639Medicaid