Louisiana Community Care, Inc

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Ball, LA

NPI 1659619062 · NPPES record last updated Jan 18, 2013

Key facts

NPI
1659619062
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
2673 (LA)
Legal business name
LOUISIANA COMMUNITY CARE, INC
Practice address
5803 Monroe Hwy
Ball, LA 71405-3362
Phone
(318) 640-2953
Fax
(318) 641-1976
NPI assigned
Jan 18, 2013
Organization subpart
No

Authorized official

Name
Mr. Albert E Blackman
Title
Owner
Phone
(318) 640-2953

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2673 LA Yes

Addresses

Primary practice location

5803 Monroe Hwy
Ball, LA 71405-3362

Mailing address

5803 Monroe Hwy
Ball, LA 71405-3362
Phone (318) 640-2953

Other providers in Ball, LA

All providers in Ball, LA · Intellectual Disabilities Intermediate Care Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.