Leesville Developmental Center in Leesville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Leesville Developmental Center - NPI 1689893646

Leesville Developmental Center is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Leesville, Louisiana. Leesville Developmental Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Leesville Developmental Center is 1689893646. The last update date is 2020-08-22.

Leesville Developmental Center's current location address is Po Box 131, Leesville, Louisiana. You can contact this provider via phone number 3372392687 and fax number 3372383723. The mailing address for Leesville Developmental Center is Po Box 131, Leesville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Leesville Developmental Center
Address Po Box 131, Leesville, Louisiana
Phone Number 3372392687
Fax Number 3372383723
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FACILITY S
Authorized Official Name Brooks Tommy
Telephone Number 3372392687

NPI Number Detail

NPI Number 1689893646
Provider Enumeration Date 2007-04-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 131
City Leesville
State Louisiana (LA)
Post Code 714960131
Phone Number 3372392687
Fax Number 3372383723

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1712043 LA --

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FAQs about Leesville Developmental Center

What is the unique 10-digit identifier code assigned to Leesville Developmental Center by the Centers for Medicare & Medicaid Services?

The Leesville Developmental Center has been issued the NPI (National Provider Identifier) 1689893646 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Leesville Developmental Center is physically located?

The Leesville Developmental Center is physically situated at the following address: Po Box 131, Leesville, LA, 714960131.

What is Leesville Developmental Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Leesville Developmental Center is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1689893646 to Leesville Developmental Center?

The Leesville Developmental Center received its 1689893646 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.

When was the information pertaining to Leesville Developmental Center most recently updated or revised?

The details related to Leesville Developmental Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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