NPI 1174742159

Leesville Developmental Center

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Leesville, LA

Practice location

Address: 161 Section Line Rd, Leesville, LA 71446-5534
Phone: (337) 535-9314
Mailing address: PO Box 131, Leesville, LA 71496-0131

Authorised official

Name: Tommy Brooks
Title: Facility Services Director
Phone: (337) 239-2687

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 683 (LA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1174742159
Entity type: Organization
NPI issued: 25 Apr 2007
Record last updated: 18 Jun 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.