Louise S Davis Residential Facilities, Llc in Lake Charles - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Louise S Davis Residential Facilities, Llc - NPI 1558487025
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 1558487025. 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 |
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Authorized Official Name | Broussard A Kendall |
Telephone Number | 3374396600 |
NPI Number Detail
NPI Number | 1558487025 |
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Provider Enumeration Date | 2007-03-22 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1 Lakeshore Dr |
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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 |
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Taxonomy | 320600000X |
Licence No | 971 |
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 |
---|---|---|---|
1711063 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Louise S Davis Residential Facilities, Llc by the Centers for Medicare & Medicaid Services?
The Louise S Davis Residential Facilities, Llc has been issued the NPI (National Provider Identifier) 1558487025, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Louise S Davis Residential Facilities, Llc?
The Louise S Davis Residential Facilities, Llc is situated at 1 Lakeshore Dr, in the city of Lake Charles, state of LA, with the zip code 706290100.
What is Louise S Davis Residential Facilities, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Louise S Davis Residential Facilities, Llc's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When was the Louise S Davis Residential Facilities, Llc's 1558487025 issued?
The Louise S Davis Residential Facilities, Llc's 1558487025 was issued on 2007-03-22.
When was the Louise S Davis Residential Facilities, Llc's information last updated?
The Louise S Davis Residential Facilities, Llc's information was last updated on 2020-08-22.
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