Organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Active
Parent organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Other names
Jericho Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Authorized official
KHRISTY ELLIS (CONTROLLER)
(318) 445-6443
Entity
Organization
Contact information
Practice address
2005 HUIE DELLMON AVE, BOYCE, LA 71409-9328
(318) 445-6443
Mailing address
PO BOX 7768, ALEXANDRIA, LA 71306-0768
(318) 445-6443
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
04/07/2026
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