Westside Habilitation Center in Alexandria - Intermediate Care Facility, Intellectual Disabilities
Westside Habilitation Center - NPI 1154358125
Westside Habilitation Center is a Intermediate Care Facility, Intellectual Disabilities in Alexandria, Louisiana. Westside Habilitation Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Westside Habilitation Center is 1154358125. The last update date is 2009-11-05.
Westside Habilitation Center's current location address is 2987 N Bolton Ave, Alexandria, Louisiana. You can contact this provider via phone number 3184731880 and fax number 3184457332. The mailing address for Westside Habilitation Center is 2987 N Bolton Ave, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Westside Habilitation Center |
|---|---|
| Address | 2987 N Bolton Ave, Alexandria, Louisiana |
| Phone Number | 3184731880 |
| Fax Number | 3184457332 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bolton Bonnette Christina |
| Telephone Number | 3184451551 |
NPI Number Detail
| NPI Number | 1154358125 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2009-11-05 |
Provider Mailing Address Detail
| Address | 2987 N Bolton Ave |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 713034512 |
| Phone Number | 3184731880 |
| Fax Number | 3184457332 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 309 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19G087 | LA | -- | |
| 1715701 | LA | UNYSIS |
Post Comment/ Review Below
What is the Westside Habilitation Center's 1154358125?
The Westside Habilitation Center's NPI (National Provider Identifier) Number is 1154358125. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Westside Habilitation Center is physically located?
The Westside Habilitation Center is physically situated at the following address: 2987 N Bolton Ave, Alexandria, LA, 713034512.
What is the Westside Habilitation Center's specialty and taxonomy code?
The Westside Habilitation Center's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154358125 to Westside Habilitation Center?
The Centers for Medicare & Medicaid Services originally issued the 1154358125 to Westside Habilitation Center on 2006-06-27.
When was the information regarding Westside Habilitation Center most recently updated?
The details pertaining to the Westside Habilitation Center, including its address, specialty, and other relevant information, were last refreshed on 2009-11-05.