Organization
ST. GENEVIVE HEALTH CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY RYDER (DIRECTOR)
(318) 219-4101
Entity
Organization
Contact information
Practice address
3644 GOVERNMENT ST STE A, ALEXANDRIA, LA 71302-3324
(318) 443-4141
Mailing address
3644 GOVERNMENT ST, ALEXANDRIA, LA 71302-3324
(318) 443-4141
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
RC 7040
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1458643
—
LA
Enumeration date
04/13/2007
Last updated
10/15/2024
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