Organization
LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC
Active
Other names
NEWCASTLE COMMUNITY HOME
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL A BROUSSARD (MANAGING MEMBER)
(337) 439-6600
Entity
Organization
Contact information
Practice address
1411 CLAIBORNE AVE, SHREVEPORT, LA 71103-4203
(337) 439-6600
(337) 439-6647
Mailing address
1 LAKESHORE DR, SUITE 1900, LAKE CHARLES, LA 70629-0100
(337) 439-6600
(337) 439-6647
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
973
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1711004
—
LA
Enumeration date
03/22/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us