Organization
LOUISIANA CNI, LLC
Active
Other names
Louisiana CNI - Central Woods
Organization subpart
No
Provider details
NPI number
Authorized official
TONI RIZZO (GENERAL MANAGER)
(225) 272-2090
Entity
Organization
Contact information
Practice address
14735 CENTRAL WOODS AVE, BATON ROUGE, LA 70818-4212
(225) 262-1742
(225) 273-4305
Mailing address
12009 FLORIDA BLVD, BATON ROUGE, LA 70815-2702
(225) 272-2090
(225) 273-4305
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
873
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1719536
—
LA
Enumeration date
09/14/2006
Last updated
08/22/2020
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