Provider Demographics
NPI:1396084042
Name:R C MOORE VOCATIONAL SERVICES
Entity type:Organization
Organization Name:R C MOORE VOCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-682-9110
Mailing Address - Street 1:PO BOX 508
Mailing Address - Street 2:
Mailing Address - City:VIOLET
Mailing Address - State:LA
Mailing Address - Zip Code:70092-0508
Mailing Address - Country:US
Mailing Address - Phone:504-682-9110
Mailing Address - Fax:504-682-9117
Practice Address - Street 1:7837 E SAINT BERNARD HWY
Practice Address - Street 2:
Practice Address - City:SAINT BERNARD
Practice Address - State:LA
Practice Address - Zip Code:70085-5418
Practice Address - Country:US
Practice Address - Phone:504-682-9110
Practice Address - Fax:504-682-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA81110347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle