# LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOBDELL COMMUNITY HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083865000
- **Authorized official:** KENDALL A BROUSSARD (MANAGING MEMBER)
- **Authorized official phone:** (337) 439-6600

## Contact information

- **Practice address:** 10015 GREENWELL SPRINGS-PORT HUDSON RD, ZACHARY, LA 70791
- **Practice address phone:** (225) 654-8344
- **Practice address fax:** (225) 654-4240
- **Mailing address:** 10015 GREENWELL SPRINGS-PORT HUDSON RD, ZACHARY, LA 70791
- **Mailing address phone:** (225) 654-8344
- **Mailing address fax:** (225) 654-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 1041 | LA | Yes |

## Other

- **Enumeration date:** 10/08/2008
- **Last updated:** 10/08/2008