OrganizationActive
Care Solutions
NPI 1649443631 · Child Intellectual and/or Developmental Disabilities Respite Care · Monroe, LA
Provider details
- NPI number
- 1649443631
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Anthony Jacola, Owner(318) 362-0036
- License
- ADC11450 (LA)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense ADC11450 (LA)
Respite Care Facility
Practice location
509 N 2nd St
Monroe, LA 71201-6233
Phone: (318) 362-0036
Fax: (318) 362-0165
Approximate (ZIP-level) locationGet directions
Mailing address
509 N 2nd St
Monroe, LA 71201-6233
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2020-09-25
- Certified
- 2020-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.