NPI 1730307133

Northwest Supports and Services Center

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

Practice location

Address: 5401 Shed Rd, Bossier City, LA 71111-5420
Phone: (318) 741-5230
Fax: (318) 741-5303

Authorised official

Name: David Colvin
Title: Administrator
Phone: (318) 741-5200

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence SIL 12595 (LA)

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

Registry record

NPI: 1730307133
Entity type: Organization
NPI issued: 23 Apr 2007
Record last updated: 27 Feb 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.