NPI 1033378781

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Organisation Intellectual Disabilities Intermediate Care Facility Alexandria, LA

Practice location

Address: 5635 Navaho Trl, Alexandria, LA 71301-2853
Phone: (318) 442-7105
Fax: (318) 442-7106
Mailing address: PO Box 7917, Alexandria, LA 71306-0917

Authorised official

Name: Christina Bolton
Title: Administrator
Phone: (318) 445-1551

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1029 (LA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Louisiana →

Registry record

NPI: 1033378781
Entity type: Organization
NPI issued: 7 Jun 2008
Record last updated: 5 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.