NPI 1609053727
Pinecrest Supports and Services Center
Practice location
- Address
- 224 Robertson Rd, Ball, LA 71405-3863
- Phone
- (318) 640-3955
- Fax
- (318) 640-3955
- Mailing address
- P. O. Box 5191 Attention: Qmi, Pineville, LA 71361-5191
Authorised official
- Name
- Sherri a Evans
- Title
- Mr Dd Regional Administrator
- Phone
- (318) 641-2003
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1609053727
- Entity type
- Organization
- NPI issued
- 31 Jan 2008
- Record last updated
- 31 Jan 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.