Organization
GOLDEN RULE CARE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY P MORAIN (OWNER)
(337) 623-4100
Entity
Organization
Contact information
Practice address
2214 GRAND POINT RD, BREAUX BRIDGE, LA 70517-3322
(337) 332-4005
(337) 332-6671
Mailing address
PO BOX 1286, BREAUX BRIDGE, LA 70517-1286
(337) 332-4005
(337) 332-6671
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2583077
—
LA
Enumeration date
12/08/2022
Last updated
08/03/2023
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