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Organization
DDMS OF LOUISIANA NO 2, LLC
Active
Organization
DDMS OF LOUISIANA NO 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
2612 GADSDEN ST, KENNER, LA 70062-5034
(504) 712-1323
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
LA
Enumeration date
11/19/2014
Last updated
03/05/2023
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