Organization
METROPOLITAN DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL KNIGHT (ADMINSTRATOR)
(504) 394-1200
Entity
Organization
Contact information
Practice address
251 F EDWARD HEBERT BLVD, BELLE CHASSE, LA 70037-3003
(504) 394-1200
(504) 398-9200
Mailing address
251 F EDWARD HEBERT BLVD, BELLE CHASSE, LA 70037-3003
(504) 394-1200
(504) 398-9200
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
13434
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1561860
—
LA
Enumeration date
05/21/2007
Last updated
08/22/2020
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