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Organization

ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES

Active
Parent organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Other names
Bishop Ronald P Herzog Home
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Authorized official
KHRISTY ELLIS (CONTROLLER)
(318) 445-6443
Entity
Organization

Contact information

Practice address
1901 HUIE DELLMON AVE, BOYCE, LA 71409-9329
(318) 445-6443
Mailing address
PO BOX 7768, ALEXANDRIA, LA 71306-0768
(318) 445-6443
(318) 449-8520

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
08/26/2020
Last updated
04/07/2026
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