Organization
RL TRAYLOR ENTERPRISES, LLC
Active
Other names
Bethesda Therapeutic Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE L TRAYLOR (EXECUTIVE ADMINISTRATOR)
(318) 791-3427
Entity
Organization
Contact information
Practice address
1100 S 4TH ST, MONROE, LA 71202-2804
(318) 600-6274
(318) 600-6273
Mailing address
209 N 18TH ST, MONROE, LA 71201-7067
(318) 600-6273
(318) 600-6274
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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