St Marys Resd Training School

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

NPI 1841484656 · NPPES record last updated Sep 5, 2007

Key facts

NPI
1841484656
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
993 (LA)
Legal business name
ST MARYS RESD TRAINING SCHOOL
Practice address
6691 Antoinette Street
Boyce, LA 71409-9312
Phone
(318) 445-9646
NPI assigned
Sep 5, 2007
Organization subpart
Yes
Parent organization (as reported)
ST MARYS RESD TRAINING SCHOOL

Authorized official

Name
Mrs. Christi Guillot
Title
Administrative Service Director
Phone
(318) 445-6443

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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

Locations

6691 Antoinette St
Boyce, LA 71409
Phone (318) 445-9646

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 993 LA Yes

Addresses

Primary practice location

6691 Antoinette Street
Boyce, LA 71409-9312

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
1459305MedicaidLA

Other names

  • Kilpatrick Home 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.