Northlake Supports And Services Center in Hammond - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Northlake Supports And Services Center - NPI 1710150446

Northlake Supports And Services Center is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Hammond, Louisiana. Northlake Supports And Services Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Northlake Supports And Services Center is 1710150446. The last update date is 2008-04-02.

Northlake Supports And Services Center's current location address is 45439 Live Oak Dr, Hammond, Louisiana. You can contact this provider via phone number 2255673111. The mailing address for Northlake Supports And Services Center is 45439 Live Oak Dr, Hammond, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northlake Supports And Services Center
Address 45439 Live Oak Dr, Hammond, Louisiana
Phone Number 2255673111
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Williams Ronald
Telephone Number 2255673111

NPI Number Detail

NPI Number 1710150446
Provider Enumeration Date 2008-04-02
Last Updated Date 2008-04-02

Provider Mailing Address Detail

Address 45439 Live Oak Dr
City Hammond
State Louisiana (LA)
Post Code 704014526
Phone Number 2255673111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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FAQs about Northlake Supports And Services Center

What is the unique 10-digit identification code assigned to Northlake Supports And Services Center by the Centers for Medicare & Medicaid Services?

The Northlake Supports And Services Center has been issued the NPI (National Provider Identifier) 1710150446, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Northlake Supports And Services Center is physically located?

The Northlake Supports And Services Center is physically situated at the following address: 45439 Live Oak Dr, Hammond, LA, 704014526.

What is Northlake Supports And Services Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Northlake Supports And Services Center is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710150446 to Northlake Supports And Services Center?

The Centers for Medicare & Medicaid Services originally issued the 1710150446 to Northlake Supports And Services Center on 2008-04-02.

As of what date was the information regarding Northlake Supports And Services Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Northlake Supports And Services Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-02.

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