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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
LA522

Other Provider Identifiers:

IssuerNumberStateType
NOW PROFESSIONAL #1475556LA01
1162221LA05
NOW PROFESSIONAL LPN #1476170LA01
1719358LA05
1910023LA05
1953954LA05
1717673LA05
1717886LA05
1713333LA05
1717681LA05
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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