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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
MARY PATRICIA RODENBERG-ROBERTS (VICE PRES & SR. ASST GENERAL COUNSE)
(952) 836-2234
Entity
Organization
Contact information
Practice address
4704 MEADOWDALE ST, METAIRIE, LA 70006-4036
(800) 388-5150
Mailing address
313 CONGRESS ST, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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