Provider Demographics
NPI:1407053937
Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Entity type:Organization
Organization Name:LOUISIANA UNITED METHODIST CHILDREN & FAMILY SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH INFORMATION MGT
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:RHIA
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:318-242-4647
Mailing Address - Fax:318-232-1272
Practice Address - Street 1:904 DEVILLE LN
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-6313
Practice Address - Country:US
Practice Address - Phone:318-255-5020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253J00000XAgenciesFoster Care AgencyGroup - Single Specialty