Provider Demographics
NPI:1568810166
Name:PEOPLE CENTERED SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:PEOPLE CENTERED SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-255-9105
Mailing Address - Street 1:1201 ATKINS RD
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-8717
Mailing Address - Country:US
Mailing Address - Phone:318-255-9105
Mailing Address - Fax:318-251-9286
Practice Address - Street 1:1201 ATKINS RD
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-8717
Practice Address - Country:US
Practice Address - Phone:318-255-9105
Practice Address - Fax:318-251-9286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1164636957Medicaid
LA1982818779Medicaid
LA1942427190Medicaid
LA1831303403Medicaid
LA1073727863Medicaid