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Organization
LOUISIANA CNI, LLC
Active
Organization
LOUISIANA CNI, LLC
Active
Other names
Louisiana CNI - Azalea
Organization subpart
No
Provider details
NPI number
Authorized official
TONI RIZZO (GENERAL MANAGER)
(225) 272-2090
Entity
Organization
Contact information
Practice address
13951 AZALEA PARK AVE, BATON ROUGE, LA 70816-1104
(225) 275-8872
(225) 273-4305
Mailing address
12009 FLORIDA BLVD, BATON ROUGE, LA 70815-2702
(225) 272-2090
(225) 273-4305
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
870
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718751
—
LA
Enumeration date
09/13/2006
Last updated
08/22/2020
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