Organization
HAMMOND DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KINDRED HODGE (ADMINISTRATOR)
(225) 567-3111
Entity
Organization
Contact information
Practice address
45439 LIVE OAK DRIVE, HAMMOND, LA 70401-9420
(225) 567-3111
(225) 567-2017
Mailing address
45439 LIVE OAK DRIVE, HAMMOND, LA 70401-9420
(225) 567-3111
(225) 567-2017
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
PCA 9450
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1143537
—
LA
Enumeration date
03/23/2007
Last updated
08/22/2020
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