Organization
ST MARYS RESD TRAINING SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTI GUILLOT (ADMINISTRATIVE SERVICE DIRECTOR)
(318) 445-6443
Entity
Organization
Contact information
Practice address
6715 HWY 1 NORTH, BOYCE, LA 71409
(318) 445-6443
(318) 449-8520
Mailing address
PO DRAWER 7768, ALEXANDRIA, LA 71306
(318) 445-6443
(318) 449-8520
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1716995
—
LA
Enumeration date
09/05/2007
Last updated
09/05/2007
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