Columbia Developmental Center

NPI 1013136613 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1013136613
Enumeration Date 04/24/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL ANTHONY MICHAEL
Position REGIONAL ASSOCIATE ADMINISTRATOR
Phone (318) 649-6097
Fax (318) 649-2868
Practice Location
132 HIGHWAY 850
COLUMBIA LA, 71418-1559, US
Phone (318) 649-6097
Fax (318) 649-2868
Business Location
132 HIGHWAY 850
P. O. BOX 1559
COLUMBIA LA, 71418-1559, US
Phone (318) 649-6097
Fax (318) 649-2868
Toxanomy
Taxonomy Code 320600000X
License State Louisiana
License Number 454
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According to our database, Columbia Developmental Center NPI is 1013136613, taxonomy code is 320600000X and license number is 454, license state is located at Louisiana. Columbia Developmental Center physically located at 132 Highway 850, Columbia LA, 71418-1559. NPI Number 1033115704 has the healthcare provider type.

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1013136613 NPI number is provided on an as is basis without warranty of any kind. 1013136613 is maintained by the National Plan & Provider Enumeration System. The contents of Columbia Developmental Center are for informational purposes only.