LOUISIANA COMMUNITY CARE, INC
Intermediate Care Facility, Mentally Retarded
Ball, Louisiana
Provider NPI: 1558362806
Organization Information:Organization Name: LOUISIANA COMMUNITY CARE, INC
Practice Location:
5803 MONROE HWY BALL, LA 71405 US
Tel: 318-640-2953 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5803 MONROE HWY BALL, LA 71405 US
Tel: 318-640-2953 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | LA | 522 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NOW PROFESSIONAL # | 1475556 | LA | 01 |
1162221 | LA | 05 | |
NOW PROFESSIONAL LPN # | 1476170 | LA | 01 |
1719358 | LA | 05 | |
1910023 | LA | 05 | |
1953954 | LA | 05 | |
1717673 | LA | 05 | |
1717886 | LA | 05 | |
1713333 | LA | 05 | |
1717681 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin