Louise S Davis Residential Facilities, Llc in Lake Charles - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Louise S Davis Residential Facilities, Llc - NPI 1316063035

Louise S Davis Residential Facilities, Llc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Lake Charles, Louisiana. Louise S Davis Residential Facilities, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Louise S Davis Residential Facilities, Llc is 1316063035. The last update date is 2020-08-22.

Louise S Davis Residential Facilities, Llc's current location address is 1 Lakeshore Dr, Lake Charles, Louisiana. You can contact this provider via phone number 3374396600 and fax number 3374396647. The mailing address for Louise S Davis Residential Facilities, Llc is 1 Lakeshore Dr, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Louise S Davis Residential Facilities, Llc
Address 1 Lakeshore Dr, Lake Charles, Louisiana
Phone Number 3374396600
Fax Number 3374396647
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING M
Authorized Official Name Broussard A Kendall
Telephone Number 3374396600

NPI Number Detail

NPI Number 1316063035
Provider Enumeration Date 2007-03-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1 Lakeshore Dr
City Lake Charles
State Louisiana (LA)
Post Code 706290100
Phone Number 3374396600
Fax Number 3374396647

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No 967
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1718718 LA --

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FAQs about Louise S Davis Residential Facilities, Llc

What is the unique identifier code issued to Louise S Davis Residential Facilities, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Louise S Davis Residential Facilities, Llc has been assigned the NPI (National Provider Identifier) 1316063035. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Louise S Davis Residential Facilities, Llc's facilities are geographically located?

The facilities of Louise S Davis Residential Facilities, Llc are physically situated at the following location: 1 Lakeshore Dr, Lake Charles, LA, 706290100.

What is the Louise S Davis Residential Facilities, Llc's area of specialization and corresponding taxonomy classification?

The Louise S Davis Residential Facilities, Llc's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.

When did Louise S Davis Residential Facilities, Llc receive its 1316063035 assignment?

The Louise S Davis Residential Facilities, Llc was assigned its 1316063035 on 2007-03-22, which is the date when this unique identifier was issued to the organization.

When was the information regarding Louise S Davis Residential Facilities, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Louise S Davis Residential Facilities, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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