Provider Demographics
NPI:1104655646
Name:HAWKINS ADULT DAY HEALTHCARE INC
Entity type:Organization
Organization Name:HAWKINS ADULT DAY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAWKINS-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-588-7505
Mailing Address - Street 1:1510 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220-5915
Mailing Address - Country:US
Mailing Address - Phone:225-588-7505
Mailing Address - Fax:833-466-1805
Practice Address - Street 1:1510 ELM ST
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-5915
Practice Address - Country:US
Practice Address - Phone:225-588-7505
Practice Address - Fax:833-466-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services