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LOBDELL COMMUNITY HOME

Adult Care Home

Zachary, Louisiana

Provider NPI: 1427278936

Organization Information:
Organization Name:  LOBDELL COMMUNITY HOME


Practice Location:
10015 DEERFORD RD  ZACHARY, LA 70791 US
Tel: 225-654-8344  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home

Other Provider Identifiers:

IssuerNumberStateType
1713066LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS LA - Page 1



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