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

Louise S Davis Residential Facilities, Llc - NPI 1932225562

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 1932225562. 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 1932225562
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 968
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
1718700 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) 1932225562. 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 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 was the 1932225562 assigned to Louise S Davis Residential Facilities, Llc?

The Louise S Davis Residential Facilities, Llc was issued its 1932225562 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Louise S Davis Residential Facilities, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Louise S Davis Residential Facilities, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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