Individual provider · Type 1 NPI
Leathrice Jack
Home Modifications Contractor · Ville Platte, LA
NPI number
1649606989
Active
Practice location
709 East Jefferson St
Ville Platte, LA 70586
Mailing address
709 E Jefferson St
Ville Platte, LA 70586-3911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | 555855 (LA) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1649606989
Leathrice Jack's National Provider Identifier is 1649606989, issued on Sep 18, 2013. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Ville Platte, LA. The record was last updated on Sep 18, 2013.