Organization
RUSTON DEVELOPMENTAL CENTER
Active
Other names
Wesley Chapel Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET ROBINSON (DIRECTO OF ADMINISTRATIVE SERVICES)
(318) 247-4213
Entity
Organization
Contact information
Practice address
4372 HIGHWAY 818, RUSTON, LA 71270-8339
(318) 247-4204
(318) 247-4254
Mailing address
PO BOX 907, RUSTON, LA 71273-0907
(318) 247-4204
(318) 247-4254
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
944
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1711284
—
LA
Enumeration date
04/18/2007
Last updated
08/22/2020
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