Organization
LIBERTY ONE COMMUNITY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKIE J LAFLEUR JR. (DIRECTOR OF OPERATIONS)
(337) 546-0667
Entity
Organization
Contact information
Practice address
1050 W VINE AVE, EUNICE, LA 70535-3132
(337) 546-6650
(337) 546-6827
Mailing address
1050 W VINE AVE, P.O. BOX 1287, EUNICE, LA 70535-3132
(337) 546-6650
(337) 546-6827
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1717649
PROVIDER NUMBER
LA
Enumeration date
02/26/2007
Last updated
08/22/2020
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