NPI 1174766364

Roosevelt Community Home

Organisation Intellectual Disabilities Intermediate Care Facility Alexandria, LA

Practice location

Address: 1605 Texas Ave, Alexandria, LA 71301-4050
Phone: (318) 443-9330
Fax: (318) 443-9359
Mailing address: PO Box 7917, Alexandria, LA 71306-0917

Authorised official

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

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1054 (LA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Louisiana →

Registry record

NPI: 1174766364
Entity type: Organization
NPI issued: 17 Apr 2009
Record last updated: 7 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.