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 71405-3362
(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
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
522
LA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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