Liberty Three Community Home

NPI 1043346034 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1043346034
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRANKIE J FRANKIE
Position DIRECTOR OF OPERATIONS
Phone (337) 546-0123
Fax (337) 546-6827
Practice Location
1730 W MAGNOLIA AVE
EUNICE LA, 70535-3036, US
Phone (337) 546-0123
Fax (337) 546-6827
Business Location
1730 W MAGNOLIA AVE
EUNICE LA, 70535-3036, US
Phone (337) 546-0123
Fax (337) 546-6827
Toxanomy
Taxonomy Code 315P00000X
License State Louisiana
License Number 651
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According to our database, Liberty Three Community Home NPI is 1043346034, taxonomy code is 315P00000X and license number is 651, license state is located at Louisiana. Liberty Three Community Home physically located at 1730 W Magnolia Ave, Eunice LA, 70535-3036. NPI Number 1033115704 has the healthcare provider type.

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1043346034 NPI number is provided on an as is basis without warranty of any kind. 1043346034 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Three Community Home are for informational purposes only.