Organization
LOUISIANA COMMUNITY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT E BLACKMAN (OWNER)
(318) 640-2953
Entity
Organization
Contact information
Practice address
5803 MONROE HWY, BALL, LA 71405-3362
(318) 640-2953
(318) 641-1976
Mailing address
5803 MONROE HWY, BALL, LA 71405-3362
(318) 640-2953
(318) 641-1976
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2673
LA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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