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Organization
CDF HEALTHCARE OF LA, LLC
Active
Organization
CDF HEALTHCARE OF LA, LLC
Active
Other names
MADELINE GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY EDWARDS (ADMINISTRATOR)
(318) 878-5106
Entity
Organization
Contact information
Practice address
98 TEER ST, DELHI, LA 71232
(318) 878-5106
(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
1059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1800970
—
LA
Enumeration date
09/23/2009
Last updated
10/26/2009
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