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Organization
NORMAL LIFE OF LAFAYETTE, INC.
Active
Organization
NORMAL LIFE OF LAFAYETTE, INC.
Active
Other names
Northridge Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (CHIEF REGULATORY OFFICER SR ASST GC)
(952) 836-2234
Entity
Organization
Contact information
Practice address
10514 N RIDGE DR, BATON ROUGE, LA 70811-1751
(225) 778-5097
Mailing address
6600 FRANCE AVE S STE 350, EDINA, MN 55435-1810
(800) 388-5150
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1716669
VENDOR #
LA
01
—
883
OLD LICENSE NO.
LA
Enumeration date
01/12/2012
Last updated
07/19/2026
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