Leesville Developmental Center in Leesville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Leesville Developmental Center - NPI 1245459213
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 1245459213. 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 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 | 1245459213 |
|---|---|
| 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 | 3372383723 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 273 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1712124 | LA | -- |
Post Comment/ Review Below
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) 1245459213. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leesville Developmental Center's facilities are geographically located?
The facilities of Leesville Developmental Center are physically situated at the following location: Po Box 131, Leesville, LA, 714960131.
What is Leesville Developmental Center's area of expertise and its corresponding taxonomy classification?
The Leesville Developmental Center's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1245459213 to Leesville Developmental Center?
The Leesville Developmental Center received its 1245459213 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 2008-06-18.