in Baton Rouge - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
- NPI 1366609224
is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Baton Rouge, Louisiana. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for is 1366609224. The last update date is .
's current location address is 16950 Florida Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2252737269 and fax number 2252737270. The mailing address for is 16950 Florida Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 16950 Florida Blvd, Baton Rouge, Louisiana |
Phone Number | 2252737269 |
Fax Number | 2252737270 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1366609224 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 16950 Florida Blvd |
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City | Baton Rouge |
State | Louisiana (LA) |
Post Code | 708197914 |
Phone Number | 2252737269 |
Fax Number | 2252737270 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Licence No | 1436160 |
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 |
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1436160 | LA | -- |
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