Organization
CDF HEALTHCARE OF LA, LLC
Active
Other names
BEAR DEN GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY EDWARDS (ADMINISTRATOR)
(318) 878-5106
Entity
Organization
Contact information
Practice address
204 HALL ST, DELHI, LA 71232-2237
(318) 878-5106
(318) 878-8671
Mailing address
PO BOX 607, DELHI, LA 71232-0607
(318) 878-5106
(318) 878-8671
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1042
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336581
—
LA
Enumeration date
10/09/2008
Last updated
02/02/2009
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