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NPI 1760690754

OrganizationActive

Jastay Enterprises Inc

NPI 1760690754 · PACE Provider Organization · Bastrop, LA

Provider details

NPI number: 1760690754
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Authorized official: Cynthia Taylor, Owner
License: 10769 (LA)

Practice location

117 N Washington St

Bastrop, LA 71220

Phone: (318) 556-3378

Fax: (318) 283-5200

More LA providers

Mailing address

117 N Washington St

Bastrop, LA 71220

Registry dates

Enumerated: 2007-05-21
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jastay Enterprises Inc — NPI 1760690754, Bastrop, LA | NPI Central