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Organization
CDF HEALTHCARE OF LA, LLC
Active
Organization
CDF HEALTHCARE OF LA, LLC
Active
Other names
Richmond Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE DEBOLT (ADMINISTRATOR)
(318) 878-5106
Entity
Organization
Contact information
Practice address
100 CAROLINE ST, TALLULAH, LA 71282-5508
(318) 574-5102
(318) 878-8671
Mailing address
PO BOX 607, DELHI, LA 71232-0607
(318) 878-5106
(318) 878-8671
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
976
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1719820
—
LA
Enumeration date
04/17/2007
Last updated
06/09/2010
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