Organization
ALLIED HEALTH CARE, L.L.C.
Active
Other names
Hermitage Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E. RICHARDSON (C.E.O.)
(318) 445-6470
Entity
Organization
Contact information
Practice address
1825 GENERAL TAYLOR AVE, BATON ROUGE, LA 70810-6330
(225) 756-6640
Mailing address
715 MAIN ST, PINEVILLE, LA 71360-6937
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
961
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1719978
—
LA
Enumeration date
02/01/2007
Last updated
08/22/2020
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