Organization
ALLIED HEALTHCARE LLC
Active
Other names
Lakeshore Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE HOWARD (C.O.O.)
(318) 445-6470
Entity
Organization
Contact information
Practice address
1495 GARDENA DR, NEW ORLEANS, LA 70122-1913
(504) 284-5933
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360-3828
(318) 445-6470
(318) 641-6282
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1670
LA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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