Leesville Developmental Center in Leesville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Leesville Developmental Center - NPI 1023237013
Leesville Developmental Center is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Leesville, Louisiana. Leesville Developmental Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Leesville Developmental Center is 1023237013. The last update date is 2008-06-18.
Leesville Developmental Center's current location address is Po Box 131, Leesville, Louisiana. You can contact this provider via phone number 3372392687. 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 | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FACILITY S |
|---|---|
| Authorized Official Name | Brooks Tommy |
| Telephone Number | 3372392687 |
NPI Number Detail
| NPI Number | 1023237013 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | Po Box 131 |
|---|---|
| City | Leesville |
| State | Louisiana (LA) |
| Post Code | 714960131 |
| Phone Number | 3372392687 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 306 |
|
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 |
|---|---|---|---|
| 1712159 | LA | -- |
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What is the unique identifier code issued to Leesville Developmental Center by the Centers for Medicare & Medicaid Services?
The Leesville Developmental Center has been assigned the NPI (National Provider Identifier) 1023237013. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Leesville Developmental Center is geographically located?
The Leesville Developmental Center is physically situated at the following location: Po Box 131, Leesville, LA, 714960131.
What is Leesville Developmental Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leesville Developmental Center's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
When was the Leesville Developmental Center's 1023237013 issued?
The Leesville Developmental Center's 1023237013 was issued on 2007-04-25.
As of what date was the information regarding Leesville Developmental Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leesville Developmental Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-18.