Organization
GARFIELD GROUP HOME
Active
Parent organization
WESTSIDE HABILITATION CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTSIDE HABILITATION CENTER, INC
Authorized official
MRS. CHRISTINA BONNETTE BOLTON M.S. (ADMINISTRATOR)
(318) 445-1551
Entity
Organization
Contact information
Practice address
1263 ENTERPRISE ROAD, ALEXANDRIA, LA 71303
(318) 487-0250
(318) 427-1828
Mailing address
PO BOX 7917, ALEXANDRIA, LA 71306-0917
(318) 445-1551
(318) 445-1242
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1050
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19G650
—
LA
Enumeration date
03/02/2009
Last updated
11/07/2009
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