NPI 1659596740

W.I. Moore INC

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

Practice location

Address: 200 S Alvin St, Bastrop, LA 71220-4105
Phone: (318) 281-4889
Fax: (318) 281-4891

Authorised official

Name: David E Smith
Title: Executive Director
Phone: (318) 281-4889

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 616 (LA)

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

Registry record

NPI: 1659596740
Entity type: Organization
NPI issued: 16 Apr 2007
Record last updated: 22 Aug 2020

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.