# HOUSE OF NOLA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063065217
- **Authorized official:** MR. TERRANCE MILES KEY (OWNER/DIRECTOR)
- **Authorized official phone:** (318) 680-7792

## Contact information

- **Practice address:** 10073 PLEASANT DR, BASTROP, LA 71220-6347
- **Practice address phone:** (318) 680-7792
- **Practice address fax:** (870) 258-1958
- **Mailing address:** 174 LENOX BRG, STERLINGTON, LA 71280-3358
- **Mailing address phone:** (318) 680-7792
- **Mailing address fax:** (844) 270-1958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 07/17/2019