Magnolia Lamantia #1 Group Home
Intermediate care facility for individuals with intellectual disabilities in Jefferson, LA, Medicare certification number 19G790.
Medicare certification
Provider of Services- CCN
- 19G790
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Nov 10, 2015
- Last certification
- Apr 22, 2025
- Beds
- 8
- Address
- 143 Central Avenue
Jefferson, LA 70121
(504) 733-2874
NPI records for this facility 1
-
- Intellectual Disabilities Intermediate Care Facility
- Jefferson, LA
- NPI 1801260468
Name & address match
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.