Lasting Impression Care Inc in Gretna - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Lasting Impression Care Inc - NPI 1043408651

Lasting Impression Care Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Gretna, Louisiana. Lasting Impression Care Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Lasting Impression Care Inc is 1043408651. The last update date is 2007-10-09.

Lasting Impression Care Inc's current location address is 405 Gretna Blvd, Gretna, Louisiana. You can contact this provider via phone number 5072278343 and fax number 5042278540. The mailing address for Lasting Impression Care Inc is 405 Gretna Blvd, Gretna, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lasting Impression Care Inc
Address 405 Gretna Blvd, Gretna, Louisiana
Phone Number 5072278343
Fax Number 5042278540
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Anderson-Manard Ranee Tru'Ieshia
Telephone Number 5042278343

NPI Number Detail

NPI Number 1043408651
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 405 Gretna Blvd
City Gretna
State Louisiana (LA)
Post Code 700534900
Phone Number 5072278343
Fax Number 5042278540

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No PCA 14002
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1629383 LA --

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FAQs about Lasting Impression Care Inc

What is the unique identifier code issued to Lasting Impression Care Inc by the Centers for Medicare & Medicaid Services?

The Lasting Impression Care Inc has been assigned the NPI (National Provider Identifier) 1043408651. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Lasting Impression Care Inc located?

The Lasting Impression Care Inc is located at 405 Gretna Blvd, Gretna, LA 700534900.

What is the area of specialization for Lasting Impression Care Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lasting Impression Care Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.

On what date did Lasting Impression Care Inc receive its 1043408651 assignment from the Centers for Medicare & Medicaid Services?

The Lasting Impression Care Inc was assigned its 1043408651 on 2007-10-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Lasting Impression Care Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lasting Impression Care Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-09.

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