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Organization
ST MARYS RESD TRAINING SCHOOL
Active
Organization
ST MARYS RESD TRAINING SCHOOL
Active
Parent organization
ST MARYS RESD TRAINING SCHOOL
Other names
Amicus Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARYS RESD TRAINING SCHOOL
Authorized official
MRS. CHRISTI GUILLOT (ADMINISTRATIVE SERVICE DIRECTOR)
(318) 445-6443
Entity
Organization
Contact information
Practice address
1705 MADELEY AVENUE, BOYCE, LA 71409-9312
(318) 445-7633
Mailing address
PO DRAWER 7768, ALEXANDRIA, LA 71306
(318) 445-6443
(318) 449-8520
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
992
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459275
—
LA
Enumeration date
09/05/2007
Last updated
09/05/2007
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