Organization
BAYOU STATE HEALTH SERVICES
Active
Other names
Robertson Road Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED STEVE COUTEE SR. (OWNER/OPERATOR)
(318) 641-9900
Entity
Organization
Contact information
Practice address
550 ROBERTSON RD, POLLOCK, LA 71467-3800
(318) 641-9900
(318) 641-9991
Mailing address
PO BOX 1098, BALL, LA 71405-1098
(318) 641-9900
(318) 641-9991
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
810
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1713635
—
LA
Enumeration date
02/07/2008
Last updated
02/08/2008
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