Provider Demographics
NPI:1568896561
Name:LAUVE'S PDHC, LLC
Entity Type:Organization
Organization Name:LAUVE'S PDHC, LLC
Other - Org Name:LAUVE'S PEDIATRIC DAY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:SIMON
Authorized Official - Last Name:LAUVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-465-5494
Mailing Address - Street 1:918 ROCHEL DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71115-3876
Mailing Address - Country:US
Mailing Address - Phone:318-741-5734
Mailing Address - Fax:318-741-5757
Practice Address - Street 1:2000 E TEXAS ST
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-3830
Practice Address - Country:US
Practice Address - Phone:318-465-5494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781883261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care