NPI 1386760098
Louise S Davis Residential Facilities, LLC
Practice location
- Address
- 22336 Sutter Ln, Zachary, LA 70791-6003
- Phone
- (225) 654-3897
- Fax
- (225) 658-8396
- Mailing address
- 1 Lakeshore Dr Suite 1900, Lake Charles, LA 70629-0100
Authorised official
- Name
- Kendall a Broussard
- Title
- Managing Member
- Phone
- (337) 439-6600
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1386760098
- Entity type
- Organization
- NPI issued
- 22 Mar 2007
- 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.