Organization
ST. ANGELA MERICI FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS CAIN (DIRECTOR)
(337) 589-1919
Entity
Organization
Contact information
Practice address
1340 HORRIDGE ST, VINTON, LA 70668-4532
(337) 589-1919
Mailing address
1340 HORRIDGE ST, VINTON, LA 70668-4532
(337) 589-1919
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
PCA 6705
LA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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