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CALCASIEU MULTI-HANDICAPPED

Intermediate Care Facility, Mentally Retarded

Vinton, Louisiana

Provider NPI: 1568454676

Organization Information:
Organization Name:  CALCASIEU MULTI-HANDICAPPED


Practice Location:
1805 PENNY DR  VINTON, LA 70668 US
Tel: 337-589-5429  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
LA281

Other Provider Identifiers:

IssuerNumberStateType
1715484LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS LA - Page 1



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