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St. Mary'S Residential Community and Services

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

NPI 1689244352 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1689244352
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Practice address
2003 Huie Dellmon Ave
Boyce, LA 71409-9328
Phone
(318) 445-6443
NPI assigned
Jun 25, 2021
Organization subpart
Yes
Parent organization (as reported)
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES

Authorized official

Name
Khristy Ellis
Title
Controller
Phone
(318) 445-6443

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

National Provider Directory

Tax ID family
St Mary'S Residential Community and Services (27 organizations share this tax ID)
Part of
St Mary'S Residential Community and Services

Specialties & licenses

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

Addresses

Primary practice location

2003 Huie Dellmon Ave
Boyce, LA 71409-9328

Mailing address

PO Box 7768
Alexandria, LA 71306-0768
Phone (318) 445-6443

Other identifiers

IdentifierTypeStateIssuer
MR0012749OtherLALOUISIANA DEPARTMENT OF HEALTH

Other names

  • Clarks Manor Doing business as

Other providers in Boyce, LA

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

Sources for this page

Verify at the official NPI Registry.