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Organization

LOUISIANA CNI, LLC

Active
Other names
Louisiana CNI - King Bradford
Organization subpart
No

Provider details

NPI number
Authorized official
TONI RIZZO (GENERAL MANAGER)
(225) 272-2090
Entity
Organization

Contact information

Practice address
3251 KING BRADFORD DR, BATON ROUGE, LA 70816-3138
(225) 752-8231
(225) 273-4305
Mailing address
12009 FLORIDA BLVD, BATON ROUGE, LA 70815-2702
(225) 272-2090
(225) 273-4305

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
879
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1719676
LA
Enumeration date
09/22/2006
Last updated
08/22/2020
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