Organization
HOUSE OF NOLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE MILES KEY (OWNER/DIRECTOR)
(318) 680-7792
Entity
Organization
Contact information
Practice address
10073 PLEASANT DR, BASTROP, LA 71220-6347
(318) 680-7792
(870) 258-1958
Mailing address
174 LENOX BRG, STERLINGTON, LA 71280-3358
(318) 680-7792
(844) 270-1958
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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