Louise S Davis Residential Facilities, Llc in Lake Charles - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Louise S Davis Residential Facilities, Llc - NPI 1386760098
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 1386760098. The last update date is 2008-10-08.
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 | 1386760098 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2008-10-08 |
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 | 966 |
|
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 |
|---|---|---|---|
| 1711071 | LA | -- |
Post Comment/ Review Below
What is the Louise S Davis Residential Facilities, Llc's 1386760098?
The Louise S Davis Residential Facilities, Llc's NPI (National Provider Identifier) Number is 1386760098. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Louise S Davis Residential Facilities, Llc is geographically located?
The Louise S Davis Residential Facilities, Llc is physically situated at the following location: 1 Lakeshore Dr, Lake Charles, LA, 706290100.
What is the Louise S Davis Residential Facilities, Llc's specialty and taxonomy code?
The Louise S Davis Residential Facilities, Llc's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did the Louise S Davis Residential Facilities, Llc receive the assignment of its 1386760098 from the Centers for Medicare & Medicaid Services?
The Louise S Davis Residential Facilities, Llc was issued its 1386760098 by the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date were the Louise S Davis Residential Facilities, Llc's details last updated?
The information pertaining to the Louise S Davis Residential Facilities, Llc, including its address, specialty, and other details, was most recently updated on 2008-10-08.