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Organization
HARDING COMMUNITY HOME
Active
Organization
HARDING COMMUNITY HOME
Active
Parent organization
WESTSIDE HABILITATION CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTSIDE HABILITATION CENTER, INC
Authorized official
MRS. CHRISTINA BONNETTE BOLTON M.S. (ADMINISTRATOR)
(318) 445-1551
Entity
Organization
Contact information
Practice address
520 WESTWIND DR, ALEXANDRIA, LA 71303-3800
(318) 487-1328
(318) 487-1329
Mailing address
PO BOX 7917, ALEXANDRIA, LA 71306-0917
(318) 445-1551
(318) 445-1242
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1051
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19G651
—
LA
Enumeration date
02/27/2009
Last updated
11/05/2009
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