Organization
NORTH LAKE SUPPORTS & SERVICES CENTER
Active
Parent organization
LA DEPT OF HEALTH & HOSPITALS
Other names
Julia St. Community Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA DEPT OF HEALTH & HOSPITALS
Authorized official
MR. KINDRED HODGE (ADMINISTRATOR)
(225) 567-3111
Entity
Organization
Contact information
Practice address
30199 JULIA STREET, ALBANY, LA 70711
(225) 567-3111
(225) 567-2017
Mailing address
45439 LIVE OAK DR, HAMMOND, LA 70401-4526
(225) 567-3111
(225) 567-2017
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
APPLIED FOR
LA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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