Leesville Developmental Center

NPI 1023237013 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1023237013
Enumeration Date 04/25/2007
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TOMMY TOMMY
Position FACILITY SERVICES DIRECTOR
Phone (337) 238-6441
Fax
Practice Location
309 ALEXANDRIA HWY
LEESVILLE LA, 71446-2141, US
Phone (337) 238-6441
Fax
Business Location
PO BOX 131
LEESVILLE LA, 71496-0131, US
Phone (337) 239-2687
Fax
Toxanomy
Taxonomy Code 320900000X
License State Louisiana
License Number 306
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According to our database, Leesville Developmental Center NPI is 1023237013, taxonomy code is 320900000X and license number is 306, license state is located at Louisiana. Leesville Developmental Center physically located at 309 Alexandria Hwy, Leesville LA, 71446-2141. NPI Number 1033115704 has the healthcare provider type.

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1023237013 NPI number is provided on an as is basis without warranty of any kind. 1023237013 is maintained by the National Plan & Provider Enumeration System. The contents of Leesville Developmental Center are for informational purposes only.