Organization
LOUISIANA COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT E BLACKMAN (ADMINISTRATOR)
(318) 640-2953
Entity
Organization
Contact information
Practice address
5803 MONROE HWY, BALL, LA 71405
(318) 640-2953
(318) 641-1976
Mailing address
PO BOX 710, BALL, LA 71405-0710
(318) 640-2953
(318) 641-1976
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
5373
LA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5373
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1910023
—
LA
Enumeration date
03/20/2008
Last updated
09/12/2011
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