Organization
NORMAL LIFE OF LOUISIANA, INC.
Active
Other names
Tracy Lane
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
15460 TRACEY LN, INDEPENDENCE, LA 70443-2470
(502) 394-2100
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
LA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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