NPI 1104010909

St Marys Resd Training School

Organisation Intellectual Disabilities Intermediate Care Facility Boyce, LA

Practice location

Address: 1702 Madeley Avenue, Boyce, LA 71409-9312
Phone: (318) 442-3800
Mailing address: PO Drawer 7768, Alexandria, LA 71306

Authorised official

Name: Christi Guillot
Title: Administrative Service Director
Phone: (318) 445-6443

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 997 (LA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Louisiana →

Registry record

NPI: 1104010909
Entity type: Organization
NPI issued: 5 Sep 2007
Record last updated: 5 Sep 2007

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.