Provider Demographics
NPI:1679839583
Name:FAMILY RESOURCES UNLIMITED
Entity Type:Organization
Organization Name:FAMILY RESOURCES UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEANPIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-885-3494
Mailing Address - Street 1:2401 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-4730
Mailing Address - Country:US
Mailing Address - Phone:504-885-3494
Mailing Address - Fax:504-779-6465
Practice Address - Street 1:75 DOMINICAN RD
Practice Address - Street 2:SUITE 207
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3400
Practice Address - Country:US
Practice Address - Phone:985-652-3933
Practice Address - Fax:985-652-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1813770Medicaid