Provider Demographics
NPI:1366978884
Name:LOUISIANA ASSISTIVE TECHNOLOGY ACCESS NETWORK
Entity type:Organization
Organization Name:LOUISIANA ASSISTIVE TECHNOLOGY ACCESS NETWORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YAKIMA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-925-9500
Mailing Address - Street 1:3042 OLD FORGE DR
Mailing Address - Street 2:STE. D
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3181
Mailing Address - Country:US
Mailing Address - Phone:225-925-9500
Mailing Address - Fax:225-925-9560
Practice Address - Street 1:3042 OLD FORGE DR
Practice Address - Street 2:STE. D
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3181
Practice Address - Country:US
Practice Address - Phone:225-925-9500
Practice Address - Fax:225-925-9560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies