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LOUISIANA SPECIAL EDUCATION CENTER

Intermediate Care Facility, Mental Illness

Alexandria, Louisiana

Provider NPI: 1568676286

Organization Information:
Organization Name:  LOUISIANA SPECIAL EDUCATION CENTER


Practice Location:
5400 COLISEUM BLVD  ALEXANDRIA, LA 71303 US
Tel: 318-487-5484  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
LA1712094

Other Provider Identifiers:

IssuerNumberStateType
1712094LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS LA - Page 1