Provider Demographics
NPI:1891964797
Name:ABIDE FAMILY SUPPORT SERVICES
Entity Type:Organization
Organization Name:ABIDE FAMILY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRINEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-392-9840
Mailing Address - Street 1:554 BELLE TERRE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-1715
Mailing Address - Country:US
Mailing Address - Phone:985-359-2527
Mailing Address - Fax:985-359-4102
Practice Address - Street 1:3351 KABEL DR STE A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-6982
Practice Address - Country:US
Practice Address - Phone:504-392-9840
Practice Address - Fax:504-392-9839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABIDE FAMILY SUPPORT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services