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Organization
LOUISIANA COMMUNITY CARE, INC
Active
Organization
LOUISIANA COMMUNITY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT E BLACKMAN (ADMINISTRATOR)
(318) 640-2953
Entity
Organization
Contact information
Practice address
5803 MONROE HWY, BALL, LA 71405-3362
(318) 640-2953
(318) 641-1976
Mailing address
PO BOX 710, BALL, LA 71405-0710
(318) 640-2953
(318) 641-1976
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
522
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162221
—
LA
01
—
1171786
LT-PCS PROVIDER NUMBER
LA
01
—
1475556
NOW PROFESSIONAL #
LA
01
—
1475793
NOW PROFESSIONAL RN #
LA
01
—
1476170
NOW PROFESSIONAL LPN #
LA
01
—
1534781
NOW PROFESSIONAL #
LA
05
—
1713333
—
LA
05
—
1717673
—
LA
05
—
1717681
—
LA
05
—
1717886
—
LA
05
—
1719358
—
LA
05
—
1910015
—
LA
05
—
1910023
—
LA
05
—
1953954
—
LA
Enumeration date
08/09/2005
Last updated
08/22/2020
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