# LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRIARWOOD GROUP HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316063035
- **Authorized official:** KENDALL A BROUSSARD (MANAGING MEMBER)
- **Authorized official phone:** (337) 439-6600

## Contact information

- **Practice address:** 2901 DOUGLAS DR, BOSSIER CITY, LA 71111-5807
- **Practice address phone:** (337) 439-6600
- **Practice address fax:** (337) 439-6647
- **Mailing address:** 1 LAKESHORE DR, SUITE 1900, LAKE CHARLES, LA 70629-0100
- **Mailing address phone:** (337) 439-6600
- **Mailing address fax:** (337) 439-6647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 967 | LA | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1718718 | — | LA |