NPI 1396956207

St. Angela Merici Foundation

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

Practice location

Address: 1340 Horridge St, Vinton, LA 70668-4532
Phone: (337) 589-1919
Fax: (337) 589-6604

Authorised official

Name: Cotina Boudreaux
Title: Director
Phone: (337) 589-1919

Registered specialties (2)

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

Residential Treatment Facilities Taxonomy 320900000X Licence PCA 6705 (LA)

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

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X Licence ADC11233 (LA)

Other Day Training, Developmentally Disabled Services providers in Louisiana →

Registry record

NPI: 1396956207
Entity type: Organization
NPI issued: 24 May 2007
Record last updated: 1 Mar 2012

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.