Provider Demographics
NPI:1730306903
Name:PEOPLE UNLIMITED
Entity Type:Organization
Organization Name:PEOPLE UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-255-9105
Mailing Address - Street 1:PO BOX 1331
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71273-1331
Mailing Address - Country:US
Mailing Address - Phone:318-255-9105
Mailing Address - Fax:318-251-9286
Practice Address - Street 1:1200 N 18TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5459
Practice Address - Country:US
Practice Address - Phone:318-323-3236
Practice Address - Fax:318-323-3291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACM2310251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1548146Medicaid
LA1548146Medicaid