NPI 1215172549

Pinecrest Developmental Center

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

Practice location

Address: 107 Angelina Drive, Leesville, LA 71446
Phone: (337) 239-2687
Mailing address: PO Box 131, Leesville, LA 71496-0131

Authorised official

Name: Ronald Williams
Title: Administrator
Phone: (337) 239-2687

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 1036 (LA)

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

Registry record

NPI: 1215172549
Entity type: Organization
NPI issued: 16 Dec 2008
Record last updated: 25 Mar 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.