Southfork Group Home
Intermediate care facility for individuals with intellectual disabilities in Tallulah, LA, Medicare certification number 19G431.
Medicare certification
Provider of Services- CCN
- 19G431
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Aug 16, 1991
- Last certification
- Dec 10, 2025
- Beds
- 8
- Most recent change of ownership
- May 1, 2006
- Address
- 149 Afton Road
Tallulah, LA 71282
(318) 574-0704
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Southfork Group Home
- Intellectual Disabilities Intermediate Care Facility
- Tallulah, LA
- NPI 1205051711
Name & address match
Other intermediate care facilities for individuals with intellectual disabilities in Tallulah, LA
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.