Whalio Doctors

NPI 1083865000

Louise S Davis Residential Facilities, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Zachary, LA

Practice location

Address
10015 Greenwell Springs-Port Hudson Rd, Zachary, LA 70791
Phone
(225) 654-8344
Fax
(225) 654-4240

Authorised official

Name
Kendall a Broussard
Title
Managing Member
Phone
(337) 439-6600

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 1041 (LA)

Registry record

NPI
1083865000
Entity type
Organization
NPI issued
8 Oct 2008
Record last updated
8 Oct 2008

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.