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Organization

COLUMBIA DEVELOPMENTAL CENTER

Active
Other names
Banks Springs Group Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ANTHONY HARRELL (REGIONAL ASSOCIATE ADMINISTRATOR)
(318) 649-6097
Entity
Organization

Contact information

Practice address
132 HIGHWAY 850, COLUMBIA, LA 71418-1559
(318) 649-6097
(318) 649-2868
Mailing address
132 HIGHWAY 850, P. O. BOX 1559, COLUMBIA, LA 71418-1559
(318) 649-6097
(318) 649-2868

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
454
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1712060
LA
Enumeration date
04/24/2007
Last updated
08/22/2020
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