Organization
CENTRAL LOUISIANA RESOURCE CENTER
Active
Parent organization
PINECREST DEVELOPMENTAL CENTER
Other names
Pinecrest Developmental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINECREST DEVELOPMENTAL CENTER
Authorized official
MR. PAXTON E OLIVER II MS (ADMINISTRATOR)
(318) 487-5395
Entity
Organization
Contact information
Practice address
2006 GUS KAPLAN DR, ALEXANDRIA, LA 71301-3376
(318) 487-5395
(318) 487-5463
Mailing address
2006 GUS KAPLAN DR, ALEXANDRIA, LA 71301-3376
(318) 487-5395
(318) 487-5463
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
991000271
LA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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