Organization
LYNN LANE COMMUNITY HOME
Active
Other names
HDC Lynn Lane Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KINDRED HODGE (ADMINISTRATOR)
(225) 567-3111
Entity
Organization
Contact information
Practice address
#3 LYNN LANE, HAMMOND, LA 70401
(985) 543-4006
Mailing address
45439 LIVE OAK DRIVE, HAMMOND, LA 70401-9420
(225) 567-3111
(225) 567-3111
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
954
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712086
—
LA
Enumeration date
05/11/2007
Last updated
08/22/2020
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