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ST TAMMANY ASSOC. FOR RETARDED CITIZENS

Intermediate Care Facility, Mental Illness

Slidell, Louisiana

Provider NPI: 1700909959

Organization Information:
Organization Name:  ST TAMMANY ASSOC. FOR RETARDED CITIZENS


Practice Location:
1541 SAINT ANN PL  SLIDELL, LA 70460 US
Tel: 985-646-0219  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
LA3418

Other Provider Identifiers:

IssuerNumberStateType
1913235LA05
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