Provider Demographics
NPI:1831676170
Name:LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES, INC.
Other - Org Name:OWL EQUINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR HEALTH INFO. MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-255-5020
Mailing Address - Street 1:904 DEVILLE LN
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-6313
Mailing Address - Country:US
Mailing Address - Phone:318-255-5020
Mailing Address - Fax:318-255-6623
Practice Address - Street 1:1523 HIGHWAY 563
Practice Address - Street 2:
Practice Address - City:DUBACH
Practice Address - State:LA
Practice Address - Zip Code:71235
Practice Address - Country:US
Practice Address - Phone:318-777-3460
Practice Address - Fax:318-777-9377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUISIANA UNITED METHODIST CHILDREN AND FAMILY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-19
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health